Tom Marvin Robertson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

11450 Issued in TX

Practice address

12727 Kimberley LN
#203
Houston, TX 77024-4047

Phone

(713) 464-1544

Fax

(713) 464-1530

NPI assigned

May 5, 2006

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

Other names 1

• Thomas Marvin Robertson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alma F Payumo DMD PLLC

  • Dentist
  • Houston, TX
  • NPI 1265163372
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1003864653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 KIMBERLEY LN",
            "address_2": "#203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244047",
            "telephone_number": "713-464-1544",
            "fax_number": "713-464-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 KIMBERLEY LN",
            "address_2": "#203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244047",
            "telephone_number": "713-464-1544",
            "fax_number": "713-464-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TOM",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "11450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "ROBERTSON",
            "middle_name": "MARVIN",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Robertson
• Meredith Robertson
• Nathaniel Richard Robertson, MD
• Quinten Robertson, DNP
• Tamiah Robertson
• Whitney Robertson, NP
• William G Robertson Jr., RPH
• Sasha Robeye
• Robin Leah Counseling PLLC
• Alida Claire Robin, MD

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.