Organization Active NPI

Robinson Dental & Implants

  • Dentist
  • Roosevelt, UT
National Provider Identifier
1164920187
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6890810-9923 Issued in UT
Legal business name
ROBINSON DENTAL & IMPLANTS
Practice address
675 Rodeo Dr
Roosevelt, UT 84066-3714
Phone
(435) 725-3368
Fax
(435) 725-3370
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Dan Ray Robinson, DMDNPI 1851436471
Title
Owner
Phone
(435) 725-3368

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: 193400000X SINGLE SPECIALTY GROUP 122300000X 6890810-9923 UT Primary

Addresses

Primary practice location

675 Rodeo Dr
Roosevelt, UT 84066-3714

Mailing address

675 Rodeo Dr
Roosevelt, UT 84066-3714
Phone (435) 725-3368

National Provider Directory

National Provider Directory

Locations

675 Rodeo Dr
Roosevelt, UT 84066
Phone (435) 725-3368

Practitioners & affiliated clinicians

Practitioners 2

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": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1164920187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 RODEO DR",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840663714",
            "telephone_number": "435-725-3368",
            "fax_number": "435-725-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 RODEO DR",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840663714",
            "telephone_number": "435-725-3368",
            "fax_number": "435-725-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON DENTAL & IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-725-3368",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "6890810-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roosevelt, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.