Active NPI
Patricia Robus, DDS
- Pediatric Dentistry
- Austin, TX
National Provider Identifier
1083020523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 34805
- Practice address
- 1005 W 38TH St Ste 200
Austin, TX 78705 - Phone
- (512) 330-4624
- NPI assigned
- Jul 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 34805 | TX | Primary |
Addresses
Primary practice location
1005 W 38TH St Ste 200
Austin, TX 78705
Mailing address
1005 W 38TH St Ste 200
Austin, TX 78705-1042
Phone (206) 790-2829
Other practice location 1
1005 W 38th St Ste 200
Austin, TX 78705
Phone (512) 330-4624
Other names 1
- Dr. Patricia Clevenger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Central Park Pediatric Dentistry | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Austin, TX
- NPI 1639597222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1083020523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W 38TH ST STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051042",
"telephone_number": "206-790-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W 38TH ST STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78705",
"telephone_number": "512-330-4624"
}
],
"practiceLocations": [
{
"address_1": "1005 W 38th St Ste 200",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "78705",
"country_code": "US",
"telephone_number": "512-330-4624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBUS",
"first_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-04",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "34805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "CLEVENGER",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.