Mark Charles Roberts, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38739 Issued in CA

Practice address

6025 Warner Ave
Huntington Beach, CA 92649

Phone

(714) 847-0100

Fax

(714) 847-0155

NPI assigned

Sep 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1982899696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92649",
            "telephone_number": "714-847-0100",
            "fax_number": "714-847-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92649",
            "telephone_number": "714-847-0100",
            "fax_number": "714-847-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane K Robbins, PHD
• Robby T Ayoub MD Prof Medical Corp
• Robert G. Starr M.D., Inc
• Robert Rosett
• Jessica ER Roberts
• Kylie Robertson, OTR/L
• Laura Robertson, CATC I
• Hannah Pearl Robin, DMD
• Hannah Robinson
• Lucinda Robinson

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.