Active NPI
Warren Beecroft Robison
- General Practice Dentistry
- Pullman, WA
National Provider Identifier
1194473843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE61400577
- Practice address
- 650 SE Bishop Blvd Ste 200
Pullman, WA 99163-5966 - Phone
- (509) 332-2366
- NPI assigned
- Mar 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D-5491 | ID | |
| General Practice Dentistry | 1223G0001X | DE61400577 | WA | Primary |
Addresses
Primary practice location
650 SE Bishop Blvd Ste 200
Pullman, WA 99163-5966
Mailing address
5981 University Ave
Halifax, NOVA SCOTIA B3H 1W2
CA
Other practice location 1
937 Bryden Ave
Lewiston, ID 83501-5007
Phone (208) 746-2668
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-5491 | ID | MD | General Practice Dentistry |
| DE61400577 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Rivers Family Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Lewiston, ID
- NPI 1770165854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1194473843",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "5981 UNIVERSITY AVE",
"city": "HALIFAX",
"state": "NOVA SCOTIA",
"postal_code": "B3H 1W2"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 SE BISHOP BLVD STE 200",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635966",
"telephone_number": "509-332-2366"
}
],
"practiceLocations": [
{
"address_1": "937 Bryden Ave",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ID",
"postal_code": "835015007",
"country_code": "US",
"telephone_number": "208-746-2668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBISON",
"first_name": "WARREN",
"middle_name": "BEECROFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-11",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-5491",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE61400577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.