Robert W. Koubsky, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8778 Issued in MN

Legal business name

ROBERT W. KOUBSKY, D.D.S.

Practice address

3400 1St St N
Suite #102
Saint Cloud, MN 56303-4000

Phone

(320) 255-9048

Fax

(320) 251-4745

NPI assigned

Jan 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert Warren Koubsky, D.D.S.

Title

Owner/Dentist

Phone

(320) 255-9048

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Warren Koubsley, DDS

  • General Practice Dentistry
  • Saint Cloud, MN
  • NPI 1528167236
  NPD (past)

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1104198837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 1ST ST N",
            "address_2": "SUITE #102",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034000",
            "telephone_number": "320-255-9048",
            "fax_number": "320-251-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 1ST ST N",
            "address_2": "SUITE #102",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034000",
            "telephone_number": "320-255-9048",
            "fax_number": "320-251-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. KOUBSKY, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "KOUBSKY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "320-255-9048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Rivers, LICSW
• Riverside Behavioral Health LLC
• Lois Schueller Roback, MSW/LISW
• Hedy Robben, RBT
• Robedna Behavioral Consulting
• David J Roberts, MD
• Cynthia R Robertson, C.N.P.
• Robin Drug Corp (Corner Home Medical)
• Dina Lynn Robinson, LPCC
• Jessica Rose Robinson

• General Practice Dentistry in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.