Active NPI
Danielle Gros Robinson, DDS
- Pediatric Dentistry
- Lake Charles, LA
National Provider Identifier
1235363029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 61454
- Practice address
- 631 W College St
Lake Charles, LA 70605-1521 - Phone
- (337) 474-2563
- Fax
- (337) 474-2563
- NPI assigned
- May 7, 2009
- Last updated
- Aug 1, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 61454 | LA | Primary |
Addresses
Primary practice location
631 W College St
Lake Charles, LA 70605-1521
Mailing address
631 West College St
Lake Charles, LA 70605
Phone (337) 474-2563
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 |
|---|---|---|---|
| 61454 | LA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1235363029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 WEST COLLEGE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70605",
"telephone_number": "337-474-2563",
"fax_number": "337-474-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 W COLLEGE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706051521",
"telephone_number": "337-474-2563",
"fax_number": "337-474-2563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "DANIELLE",
"middle_name": "GROS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "LA",
"license": "61454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.