Individual provider Active NPI

Patrick Gordon Robinson, D.M.D

  • General Practice Dentistry
  • Athens, GA
National Provider Identifier
1174782320
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN013719 Issued in GA
Practice address
855 Sunset Dr
Suite 10
Athens, GA 30606-7718
Phone
(706) 549-1370
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN013719 GA Primary

Addresses

Primary practice location

855 Sunset Dr
Suite 10
Athens, GA 30606-7718

Mailing address

855 Sunset Dr
Suite 10
Athens, GA 30606-7718
Phone (706) 549-1370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622001189 GA Order and Referring Only - DentistPractitioner - Dentist 0042521783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1174782320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SUNSET DR",
            "address_2": "SUITE 10",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067718",
            "telephone_number": "706-549-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SUNSET DR",
            "address_2": "SUITE 10",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067718",
            "telephone_number": "706-549-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PATRICK",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.