Organization Active NPI

Scott Robinson DDS PC

  • Dentist
  • Coopersville, MI
National Provider Identifier
1205250016
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018412 Issued in MI
Legal business name
SCOTT ROBINSON DDS PC
Practice address
502 W Randall St
Coopersville, MI 49404-1341
Phone
(616) 837-9704
Fax
(616) 837-9705
NPI assigned
Feb 13, 2014
Last updated
Sep 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Dr. Scott Matthew Robinson, DDSNPI 1013066364
Title
Owner/Dentist
Phone
(616) 837-9704

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
Dentist 122300000X 2901018412 MI Primary

Addresses

Primary practice location

502 W Randall St
Coopersville, MI 49404-1341

Mailing address

502 W Randall St
Coopersville, MI 49404-1341
Phone (616) 837-9704

National Provider Directory

National Provider Directory

Locations

502 W Randall St
Coopersville, MI 49404
Phone (616) 384-4129

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": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1205250016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W RANDALL ST",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494041341",
            "telephone_number": "616-837-9704",
            "fax_number": "616-837-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W RANDALL ST",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494041341",
            "telephone_number": "616-837-9704",
            "fax_number": "616-837-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT ROBINSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "616-837-9704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coopersville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.