DR. CHARLES WAITSEL ROBERTS IV DDS NPI 1003021908

Dentist (Pediatric Dentistry) in Mooresville, NC

NPI 1003021908 Individual Male Dentist Pediatric Dentistry

About CHARLES ROBERTS

Charles Roberts is a provider established in Mooresville, North Carolina and his medical specialization is dentist (pediatric dentistry) . The NPI number of Charles Roberts is 1003021908 and was assigned on May 2007. The practitioner's primary taxonomy code is 1223P0221X with license number 7023 (NC). The provider is registered as an individual and his NPI record was last updated 14 years ago.

A dentist like Dr. Charles Waitsel Roberts Iv Dds is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Charles Roberts is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003021908

Provider NameDR. CHARLES WAITSEL ROBERTS IV DDS
Provider Location Address142 PROFESSIONAL PARK DR SUITE 200 MOORESVILLE, NC 28117
Provider Mailing Address142 PROFESSIONAL PARK DR SUITE 200 MOORESVILLE, NC 28117
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-14-2007
Last Update Date07-09-2007


Primary Taxonomy

Taxonomy Code1223P0221X
ClassificationDentist
TypeDental Providers
SpecializationPediatric Dentistry
License No.7023
License StateNC
Taxonomy DescriptionAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Business Address

DR. CHARLES WAITSEL ROBERTS IV DDS
142 PROFESSIONAL PARK DR
SUITE 200
MOORESVILLE, NC
ZIP 28117
Phone: (704) 664-5437
Fax: (704) 663-7912

Get Directions


Mailing Address

DR. CHARLES WAITSEL ROBERTS IV DDS
142 PROFESSIONAL PARK DR
SUITE 200
MOORESVILLE, NC
ZIP 28117
Phone: (704) 664-5437
Fax: (704) 663-7912



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5902375MEDICAID (05)NC

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326252248DR. KARI LYNN LUNDBERG DDS
Individual
Dentist (General Practice)142 PROFESSIONAL PARK DR SUITE 100
MOORESVILLE, NC 28117
(704) 663-1234
1801962196CHARLES W ROBERTS IV DDS & KARI L LUNDBERG DDS PA
Organization
Dentist142 PROFESSIONAL PARK DR SUITE 100 & 200
MOORESVILLE, NC 28117
(704) 663-1234

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.