Individual provider Active NPI

Robert S Perkins, DDS

  • Dentist
  • Malibu, CA
National Provider Identifier
1922756386
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38116 Issued in CA
Practice address
24955 Pacific Coast Hwy Ste C100
Malibu, CA 90265-4749
Phone
(310) 456-5700
Fax
(310) 456-1475
NPI assigned
Mar 15, 2022
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38116 CA Primary

Addresses

Primary practice location

24955 Pacific Coast Hwy Ste C100
Malibu, CA 90265-4749

Mailing address

24955 Pacific Coast Hwy Ste C100
Malibu, CA 90265-4749
Phone (310) 456-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bobperkinsdds@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38116CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleepmax Dentist CurrentSince Mar 20, 2022 Accepting new patients
Bob S. Perkins D.D.S. Dentist PastSince Mar 20, 2022 Accepting new patients

Locations

24955 Pacific Coast Hwy
Ste C100
Malibu, CA 90265
Phone (310) 419-6900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1922756386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24955 PACIFIC COAST HWY STE C100",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654749",
            "telephone_number": "310-456-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24955 PACIFIC COAST HWY STE C100",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654749",
            "telephone_number": "310-456-5700",
            "fax_number": "310-456-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bobperkinsdds@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24955 Pacific Coast Hwy Ste C100",
            "city": "Malibu",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902654749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.