Organization Active NPI

Robinson Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mesa, AZ
National Provider Identifier
1225416027
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D008105 Issued in AZ
Legal business name
ROBINSON ORTHODONTICS
Practice address
1635 N Greenfield Rd
Suite 103
Mesa, AZ 85205-4005
Phone
(480) 615-8888
Fax
(480) 615-8890
NPI assigned
May 12, 2015
Last updated
May 12, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ROBISON ORTHODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Kristofer Kellis
Title
Office Manager
Phone
(480) 888-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X D008105 AZ Primary

Addresses

Primary practice location

1635 N Greenfield Rd
Suite 103
Mesa, AZ 85205-4005

Mailing address

1635 N Greenfield Rd
Suite 103
Mesa, AZ 85205-4005
Phone (480) 615-8888

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1225416027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N GREENFIELD RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054005",
            "telephone_number": "480-615-8888",
            "fax_number": "480-615-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GREENFIELD RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054005",
            "telephone_number": "480-615-8888",
            "fax_number": "480-615-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON ORTHODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBISON ORTHODONTICS",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "KELLIS",
        "authorized_official_first_name": "KRISTOFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-888-7711"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D008105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.