Organization Active NPI

Robles Dental Group Inc

  • Dentist
  • Chico, CA
National Provider Identifier
1114774841
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ROBLES DENTAL GROUP INC
Practice address
101 Raley Blvd Ste 104
Chico, CA 95928-8352
Phone
(530) 893-8913
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Brooke EdgarNPI 1053093658
Title
Oral Myofunctional Therapist
Phone
(530) 966-6465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

101 Raley Blvd Ste 104
Chico, CA 95928-8352

Mailing address

101 Raley Blvd Ste 104
Chico, CA 95928-8352
Phone (530) 893-8913

Other identifiers 1

IdentifierTypeStateIssuer
1497138630OtherCADENTIST

Other names 1

  • Somnia Doing business as

National Provider Directory

National Provider Directory

Locations

101 Raley Blvd
Ste 104
Chico, CA 95928
Phone (530) 570-7471

Practitioners & affiliated clinicians

Practitioners 3

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": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1114774841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RALEY BLVD STE 104",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288352",
            "telephone_number": "530-893-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RALEY BLVD STE 104",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288352",
            "telephone_number": "530-893-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBLES DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "EDGAR",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "ORAL MYOFUNCTIONAL THERAPIST",
        "authorized_official_telephone_number": "530-966-6465"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1497138630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somnia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.