DR. CHARLES WAITSEL ROBERTS IV (NPI# 1003021908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003021908 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WAITSEL ROBERTS IV |
| Credential | DDS |
| Practice Address |
142 Professional Park Dr Suite 200 Mooresville NC 28117-5537 |
| Practice Telephone | 7046645437 |
| Practice Fax Number | 7046637912 |
| Mailing Telephone | 7046645437 |
| Mailing Fax Number | 7046637912 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7023 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5902375 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834278 | Charles Eugene Roberts Iv | Peer Specialist | 547 E Columbus Ave, Bellefontaine, OH 43311-2480 | 2020-06-03 |
| 1083064836 | Charles Roberts II | Pharmacist | 597 Donald C. Moore Drive, Lebanon, VA 24266 | 2016-06-13 |
| 1982987087 | Charles Alexander Roberts IIi | Chiropractor | 4670 Nw 183rd St, Miami Gardens, FL 33055 | 2011-09-25 |
| 1609065887 | Charles T. Roberts | Counselor | 1009 Falls Pkwy Ste A, Marble Falls, TX 78654-4630 | 2007-10-23 |
| 1386850683 | Charles E. Roberts | Dentist | 5101 E Farness Dr, Suite C, Tucson, AZ 85712-6116 | 2007-05-15 |
| 1982821286 | Charles Alfred Roberts | Chiropractor | 2835 Us Highway 35 N, Richmond, IN 47374-9706 | 2007-04-19 |
| 1144320656 | Charles David Roberts | Chiropractor | 2497 S Roane St, Suite 260, Harriman, TN 37748-8670 | 2006-09-24 |
| 1164417846 | Charles Ray Roberts | Optometrist | 1181 E Fry Blvd, Sierra Vista, AZ 85635-2669 | 2005-09-19 |
| 1386262251 | Charles Richard Roberts IIi | Nurse Anesthetist, Certified Registered | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-07-08 |
| 1134763543 | Charles M Roberts | Behavior Technician | 1018 N Bragg Blvd Ste A, Spring Lake, NC 28390-3316 | 2019-10-30 |
| Street Address |
142 PROFESSIONAL PARK DR SUITE 200 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-5537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801962196 | Charles W Roberts Iv Dds & Kari L Lundberg Dds Pa | Dentist | 142 Professional Park Dr, Suite 100 & 200, Mooresville, NC 28117 | 2006-11-28 |
| 1326252248 | Kari Lynn Lundberg | Dentist | 142 Professional Park Dr, Suite 100, Mooresville, NC 28117-5537 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507468 | S Vakil Dds Ms IIi Pa | Dentist | 181 N Main St Ste 202, Mooresville, NC 28115-2525 | 2020-10-26 |
| 1891282976 | Kaitlin Valerio | Dentist | 202 Williamson Rd Ste 200, Mooresville, NC 28117-7611 | 2018-04-15 |
| 1811985807 | David E Thome | Dentist | 202 Williamson Rd, Suite 200, Mooresville, NC 28117-7610 | 2005-10-12 |
| 1568844785 | Stephanie Litz Dds, PC | Dentist | 124 N Indiana St, Mooresville, IN 46158-1503 | 2015-06-24 |
| 1124457817 | David E Thome Dds Pllc II | Dentist | 202 Williamson Rd, Suite 200, Mooresville, NC 28117-7610 | 2013-11-04 |
| 1902025968 | Stephanie M Litz | Dentist | 124 N Indiana St, Mooresville, IN 46158-1503 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1942820105 | David E Thome Dds Pllc X | Dentist | 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 | 2020-04-17 |
| 1689293706 | Alterman Dhillon and Associates | Dentist | 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 | 2020-04-09 |
| 1457982852 | Miguel Angel Simancas-pallares | Dentist | 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 | 2020-02-04 |
| 1396388096 | Thome & Kankash Dds Pllc I | Dentist | 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 | 2019-10-25 |
| 1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
| 1154981371 | Bevin K Malle Dds Pa II | Dentist | 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 | 2019-06-19 |
| 1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
| 1609337930 | Jean Kontos Ginnis | Dentist | Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-03-28 |
| 1336607340 | Arpita Patel, Dmd, Pa | Dentist | 2400 South Blvd Ste 100, Charlotte, NC 28203-5773 | 2019-03-08 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
Please comment or provide details below to improve the information on DR. CHARLES WAITSEL ROBERTS IV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.