ROBERT S JULIAN DDS MD INC
NPI 1043403207
Oral & Maxillofacial Surgery in Fresno, CA

Active since August 21, 2007
290 N WAYTE LN, FRESNO, CA 93701(559) 459-4101(559) 459-5744 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, May 21, 2020 (2 updates tracked since 2020).

About Robert S Julian Dds Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT S JULIAN DDS MD INC (NPI 1043403207) is a healthcare organization registered as an oral & maxillofacial surgery in Fresno, California and active in the NPI registry since August 2007. The organization lists Robert S Julian, President/owner, as its authorized official.

NPPES Registry Identity

NPI1043403207
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameROBERT S JULIAN DDS MD INC
Location Address290 N WAYTE LNFresno, CA 93701-2124
Mailing Address290 N Wayte LnFresno, CA 93701-2124 · (559) 459-4101 · Fax (559) 459-5744
Fax(559) 459-5744
Organization SubpartNo
Authorized OfficialRobert S JulianPresident/owner · (559) 459-4101
Enumeration DateAugust 21, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1043403207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in CA · A63994✔ Licensed in CA · A063394
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License 36161 (CA)
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X · License 36161 (CA)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 36161 (CA)
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License A063994 (CA)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License A063994 (CA)
290 N WAYTE LN, Fresno, CA 93701

Other Identifiers 9

Other1043403207CA · Medicare - Billing Prov
Other1427119791CA · Medicare - Rendering/individual Prov
Medicaid36161CA
Medicaid63994CA
Other36161CA · Dental License
OtherB36161CA · Denti-cal Tx Prov
OtherGA 1120CA · General Anesthesia Lic
OtherA063994CA · Medical License
OtherB36161-01CA · Denti-cal Billing Prov.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert S Julian Dds Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20111230000180Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Robert S Julian DDS MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1427119791
290 N WAYTE LN
Fresno, CA 93701
(559) 459-4101
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert S Julian Dds MD Inc's NPI number?

The NPI number for Robert S Julian Dds MD Inc is 1043403207. It was assigned to this organization in the NPPES registry on August 21, 2007.

Where is Robert S Julian Dds MD Inc located?

Robert S Julian Dds MD Inc is located at 290 N Wayte Ln, Fresno, CA 93701. The listed phone number is (559) 459-4101.

What is Robert S Julian Dds MD Inc's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Robert S Julian Dds MD Inc enrolled in Medicare?

Yes. Robert S Julian Dds MD Inc is registered in the Medicare PECOS enrollment system.

When is Robert S Julian Dds MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Robert S Julian Dds MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Robert S Julian Dds MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robert S Julian Dds MD Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.