Brent M Robinson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9394 Issued in WA

Practice address

19108 33Rd Ave W
Ste B
Lynnwood, WA 98036-4728

Phone

(206) 778-1164

Fax

(425) 771-7836

NPI assigned

Aug 20, 2006

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

Other names 1

• Dr. Donald W Robinson Former name

Medicare fee-for-service enrollment

Enrolled in WA

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.

Enrollment records 1

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.

• Brent M Robinson DDS PS

  • Dentist
  • Lynnwood, WA
  • NPI 1326153206
  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053426023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19108 33RD AVE W",
            "address_2": "STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364728",
            "telephone_number": "206-778-1164",
            "fax_number": "425-771-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19108 33RD AVE W",
            "address_2": "STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364728",
            "telephone_number": "206-778-1164",
            "fax_number": "425-771-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "BRENT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "9394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONALD",
            "last_name": "ROBINSON",
            "middle_name": "W",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Jun Lee DDS PLLC
• Robert P. Lyle, Jr. Licsw & Associates, Inc., PS
• Austin Farrell Roberts, M.ED, BCBA, LABA
• Dana Michelle Roberts
• Julie Roberts, LMHCA
• Cheryl Robinson, R.N.
• Donald William Robinson, DDS
• Michael Robinson
• Rachel Lynn Robison
• Carrie A Robles, L.M.P.

• Dentist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Dentist in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.