Active NPI
Jeffrey Glenn Robinson, D.D.S
- General Practice Dentistry
- Temecula, CA
National Provider Identifier
1104018753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D07729
- Practice address
- 27699 Jefferson Ave Ste 306
Temecula, CA 92590-2615 - Phone
- (951) 506-2424
- Fax
- (951) 506-0604
- NPI assigned
- Aug 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 204919754 | CA | |
| General Practice Dentistry | 1223G0001X | D07729 | AZ | Primary |
Addresses
Primary practice location
27699 Jefferson Ave Ste 306
Temecula, CA 92590-2615
Mailing address
4701 W Indian School Rd
Phoenix, AZ 85031-2719
Phone (623) 245-8461
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D07729 | AZ | MD | General Practice Dentistry |
| 204919754 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Apnea Solutions Inc | Dentist | Past | Accepting new patients |
| Squaw Peak Anesthesia Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Temecula, CA
- NPI 1689021552
-
- Registered Nurse
- Tempe, AZ
- NPI 1134352925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1104018753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 W INDIAN SCHOOL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850312719",
"telephone_number": "623-245-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27699 JEFFERSON AVE STE 306",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902615",
"telephone_number": "951-506-2424",
"fax_number": "951-506-0604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JEFFREY",
"middle_name": "GLENN",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-16",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "204919754",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D07729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.