Alan L Robertson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4958 Issued in NE

Practice address

515 W 9TH St
Hastings, NE 68901-3908

Phone

(402) 463-0625

Fax

(402) 463-2417

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 1, 2015 through Jun 1, 2027

Medicare enrollment (NPD)

Not 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.

• Central Dental Group PC

  • Dentist
  • Hastings, NE
  • NPI 1538243530
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033328364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W 9TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013908",
            "telephone_number": "402-463-0625",
            "fax_number": "402-463-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W 9TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013908",
            "telephone_number": "402-463-0625",
            "fax_number": "402-463-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ALAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "4958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tana Roark
• Robert L. Anderson, M.D., P.C.
• Jennifer Roberts
• Laura Marie Roberts
• Mindy Roberts, SLP
• Robin L. Schutt, O.D., P.C.
• Connie Jo Rocker, ED S
• Hannah Rodgers
• Lisneydi Rodriguez Morillo
• Kaleigh Rodriguez

• Dentist in Hastings, NE
• Providers in Hastings, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.