NPIMap

Organization Active NPI

Justin L. Robison DMD P.C.

  • General Practice Dentistry
  • Port Orchard, WA
National Provider Identifier
1174754964
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 60085472 Issued in WA
Legal business name
JUSTIN L. ROBISON DMD P.C.
Practice address
1590 Woodridge Dr SE
Port Orchard, WA 98366-3818
Phone
(360) 871-5100
NPI assigned
Jul 28, 2009
Last updated
Jul 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Justin Lee Robison, DMDNPI 1437171246
Title
President
Phone
(208) 841-8557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE 60085472 WA Primary

Addresses

Primary practice location

1590 Woodridge Dr SE
Port Orchard, WA 98366-3818

Mailing address

3722 E Congressional Dr
Meridian, ID 83642-6037
Phone (208) 841-8557

National Provider Directory

National Provider Directory

Locations

1590 Woodridge Dr SE
Port Orchard, WA 98366
Phone (360) 871-2444

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1174754964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 E CONGRESSIONAL DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426037",
            "telephone_number": "208-841-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 WOODRIDGE DR SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663818",
            "telephone_number": "360-871-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN L. ROBISON DMD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-841-8557",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60085472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.