Active NPI
Clyde M Robinson, D.D.S.,M.SC.D
- Periodontics
- Tucson, AZ
National Provider Identifier
1144271974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- A2163
- Practice address
- 2330 N Rosemont Blvd
#A
Tucson, AZ 85712-2163 - Phone
- (520) 327-0263
- Fax
- (520) 327-0965
- NPI assigned
- May 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | A2163 | AZ | Primary |
Addresses
Primary practice location
2330 N Rosemont Blvd
#A
Tucson, AZ 85712-2163
Mailing address
2330 N Rosemont Blvd
#A
Tucson, AZ 85712-2163
Phone (520) 327-0263
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2163 | AZ | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1144271974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 N ROSEMONT BLVD",
"address_2": "#A",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122163",
"telephone_number": "520-327-0263",
"fax_number": "520-327-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 N ROSEMONT BLVD",
"address_2": "#A",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122163",
"telephone_number": "520-327-0263",
"fax_number": "520-327-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "CLYDE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.SC.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AZ",
"license": "A2163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.