Active NPI
Jeffrey A. Robichaud, D.D.S.
- General Practice Dentistry
- Morenci, MI
National Provider Identifier
1215149448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 014739
- Practice address
- 231 W Main St
Morenci, MI 49256-1420 - Phone
- (517) 458-6525
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 014739 | MI | Primary |
Addresses
Primary practice location
231 W Main St
Morenci, MI 49256-1420
Mailing address
495 Meadowbrook Dr
Adrian, MI 49221-1319
Phone (517) 266-9010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150625001152 | MI | Order and Referring Only - Dentist | 9638480056 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014739 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215149448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 MEADOWBROOK DR",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211319",
"telephone_number": "517-266-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 W MAIN ST",
"city": "MORENCI",
"state": "MI",
"postal_code": "492561420",
"telephone_number": "517-458-6525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBICHAUD",
"first_name": "JEFFREY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "014739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morenci, MI
- Family Medical Center of Michigan,Inc (Family Medical Center-Morenci Elementary School)
- William J Gray, MD
- Highland Road Plaza LLC (Mike Pharmacy)
- Morenci Medical Assoc PC
- Carrie Murphy, BSW
- Lance Matthew Shaffer, D.C.
- Shivaprasad K Shetty, M.D.
- Rachel Lee Shoemaker
- Kandice Speiser, LPN
- Spot - Baumgartner Chiropractic & Nutritional Wellness Center PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.