Kheri-Ann Robinson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02728800 Issued in NJ

Practice address

85 S Harrison St Ste 103
East Orange, NJ 07018-1740

Phone

(973) 676-5310

NPI assigned

Apr 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Orange Dental Group

  • General Practice Dentistry
  • East Orange, NJ
  • NPI 1497909220
  NPD (past)

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1205369477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FREEMAN AVE FL 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183429",
            "telephone_number": "973-673-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S HARRISON ST STE 103",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181740",
            "telephone_number": "973-676-5310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Freeman Ave",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070183429",
            "country_code": "US",
            "telephone_number": "973-673-4743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Broad St",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "NJ",
            "postal_code": "070032724",
            "country_code": "US",
            "telephone_number": "973-330-9544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KHERI-ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02728800",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02728801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Y Roberts-Moore, MS, RD
• Loraine S Roberts
• Joy Graseta Robertson, M D
• Amaya Michelle Robin
• Evette Diane Robinson
• Thanny Wendy Rodriguez
• Alicja Rogacki, PA-C
• Kaleena Rogers, LCSW
• Danielle Rollins
• Widlyne K. Romain

• General Practice Dentistry in East Orange, NJ
• Providers in East Orange, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.