Robert R Desroches, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8323 Issued in WA

Practice address

6817 N Cedar Rd Ste 201
Spokane, WA 99208-4277

Phone

(509) 326-8170

Fax

(509) 326-8172

NPI assigned

May 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972719888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 N CEDAR RD STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084277",
            "telephone_number": "509-326-8170",
            "fax_number": "509-326-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 N CEDAR RD STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084277",
            "telephone_number": "509-326-8170",
            "fax_number": "509-326-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROCHES",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5031174",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Edward Desmarais Jr., M.S.
• Doreen M. Desmond, MS. LMHC
• Sara M Desmond, ARNP
• Chelsea Desouza-Nenno
• Desroches Chiropractic, PLLC
• Ryan C Desroches, DC
• Kaila Destefano
• Michael W Detar, MD
• Levi Deters, MD
• Miranda K Detore, PA-C

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.