Organization Active NPI

Roger D. Robinson Jr., D.M.D., P.a.

  • Dental Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1003191099
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN17364 Issued in FL
Legal business name
ROGER D. ROBINSON JR., D.M.D., P.A.
Practice address
3595 Cardinal Point Drive
Jacksonville, FL 32257
Phone
(904) 737-2040
Fax
(904) 737-2051
NPI assigned
Oct 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Dr. Roger D Robinson Jr., D.M.D.NPI 1629127956
Title
President / Periodontist
Phone
(904) 737-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN17364 FL Primary

Addresses

Primary practice location

3595 Cardinal Point Drive
Jacksonville, FL 32257

Mailing address

3595 Cardinal Point Drive
Jacksonville, FL 32257
Phone (904) 737-2040

National Provider Directory

National Provider Directory

Locations

3595 Cardinal Point Dr
Jacksonville, FL 32257
Phone (904) 737-2040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1003191099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 CARDINAL POINT DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257",
            "telephone_number": "904-737-2040",
            "fax_number": "904-737-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 CARDINAL POINT DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257",
            "telephone_number": "904-737-2040",
            "fax_number": "904-737-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER D. ROBINSON JR., D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT / PERIODONTIST",
        "authorized_official_telephone_number": "904-737-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.