Robin Dale M.D. LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

025676 Issued in LA

Legal business name

ROBIN DALE M.D. LLC

Practice address

8369 Florida Blvd Ste 5
Denham Springs, LA 70726-7862

Phone

(225) 270-8783

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Robin Barry Dale, MDNPI 1578594032

Title

Physician

Phone

(225) 270-8783

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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

• Robin B Dale, M.D.

  • Family Medicine Physician
  • Denham Springs, LA
  • NPI 1578594032
  Medicare reassignment NPD Authorized official
• Brooke Elizabeth Musso, NP

  • Family Nurse Practitioner
  • Denham Springs, LA
  • NPI 1306344379
  Medicare reassignment NPD

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1053865360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8369 FLORIDA BLVD STE 5",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267862",
            "telephone_number": "225-270-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8369 FLORIDA BLVD STE 5",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267862",
            "telephone_number": "225-270-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN DALE M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "225-270-8783",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1048445",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee A. Robertson
• Taylor Robertson, BA, C-SLP-ASSISTANT
• Tiara Robertson
• Chase M Robichaux, CIT
• Matthew Robichaux
• D'Jaiya Robins
• Robinsons Unlimited
• Rocky'S Satellite Connection, Inc.
• Lindsey Rodrigue, SLP
• Jomiracle Rogers

• Family Medicine Physician in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.