Robert B. Churney, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN10464 Issued in FL

Practice address

28469 US Highway 19 N Ste 401
Clearwater, FL 33761-2512

Phone

(727) 799-6733

Fax

(727) 726-9157

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 1, 2021 through Feb 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Churney Dental Services, Inc.

  • Periodontics
  • Clearwater, FL
  • NPI 1528216470
  NPD (past) Authorized official
• Victoria Adams DMD, Ms., PLLC

  • Periodontics
  • Clearwater, FL
  • NPI 1801642053
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124199450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28469 US HIGHWAY 19 N STE 401",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612512",
            "telephone_number": "727-799-6733",
            "fax_number": "727-726-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28469 US HIGHWAY 19 N STE 401",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612512",
            "telephone_number": "727-799-6733",
            "fax_number": "727-726-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURNEY",
        "first_name": "ROBERT",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN10464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrysalis Counseling Florida LLC
• Stephanie M Chu, PA-C
• Dawn Marie Chui, APRN, PMHNP-BC
• Church of Scientology Flag Service Organization, Inc.
• Churney Dental Services, Inc.
• Christian Cignoni, M.D.
• Patrick T. Cimino, M.D.
• Ashley Morgan Cinotti
• Roger Benjamin Cisneros, MD
• Marsha Jane Clanton, LPTA

• Periodontics in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.