Organization Active NPI

Dennis J. Robison MD PLLC

  • Surgery Physician
  • Plano, TX
National Provider Identifier
1063955433
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q6695 Issued in TX
Legal business name
DENNIS J. ROBISON MD PLLC
Practice address
6130 W Parker Rd
Ste 103
Plano, TX 75093-7901
Phone
(972) 403-0801
NPI assigned
Dec 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Celecia Tucker
Title
Credentialing Coordinator
Phone
(214) 651-0772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Q6695 TX Primary

Addresses

Primary practice location

6130 W Parker Rd
Ste 103
Plano, TX 75093-7901

Mailing address

6130 W Parker Rd
Ste 103
Plano, TX 75093-7901
Phone (972) 403-0801

Other names 1

  • Dennis J. Robison MD FACS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170126000171 TX Part B Supplier - Clinic/Group Practice 5698057719 Receives reassigned benefits from 2 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

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": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1063955433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD",
            "address_2": "STE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937901",
            "telephone_number": "972-403-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD",
            "address_2": "STE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937901",
            "telephone_number": "972-403-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS J. ROBISON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "CELECIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "214-651-0772"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q6695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis J. Robison MD FACS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.