NPIMap

Individual provider Active NPI

Dennis J Robison, M.D.

  • Surgery Physician
  • Farmington, NM
National Provider Identifier
1093841728
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
81-114NM Issued in NM
Practice address
622 W Maple St
Suite C
Farmington, NM 87401-6590
Phone
(505) 327-9694
Fax
(505) 327-7524
NPI assigned
Feb 26, 2007
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 81-114NM NM Primary

Addresses

Primary practice location

622 W Maple St
Suite C
Farmington, NM 87401-6590

Mailing address

6130 W Parker Rd
Ste 103
Plano, TX 75093-7910
Phone (505) 327-9694

Other identifiers 1

IdentifierTypeStateIssuer
21766MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126000324 TX Practitioner - General Surgery 0840102943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of New Mexico School of Medicine, 1976
Medicare assignment
May accept Medicare assignment
Group practices
Dennis J Robison MD PLLCGroup PAC ID 5698057719, 2 clinicians

Practice addresses (Care Compare)

6130 W Parker Rd
Suite 103
Plano, TX 75093-7910
Phone (972) 403-0801

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion250
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81-114NMNMMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis J. Robison MD PLLC Surgery CurrentSince Dec 12, 2016 Accepting new patients
San Juan Surgical Associates Surgery PastSince Jan 1, 1986 Accepting new patients

Locations

6130 W Parker Rd
Ste 103
Plano, TX 75093
Phone (214) 361-2300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1093841728",
    "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": "750937910",
            "telephone_number": "505-327-9694",
            "fax_number": "505-327-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W MAPLE ST",
            "address_2": "SUITE C",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016590",
            "telephone_number": "505-327-9694",
            "fax_number": "505-327-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "DENNIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "81-114NM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21766",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.