Active NPI
Alan Steven Robbins, DDS
- Dentist
- Chicago, IL
National Provider Identifier
1245315092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19-016941
- Practice address
- 3759 N Southport Ave
Chicago, IL 60613-3718 - Phone
- (773) 466-4401
- Fax
- (773) 929-9336
- NPI assigned
- Oct 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28799 | CA | |
| Dentist | 122300000X | 19-016941 | IL | Primary |
Addresses
Primary practice location
3759 N Southport Ave
Chicago, IL 60613-3718
Mailing address
3508 N Janssen Ave
Chicago, IL 60657-1324
Phone (773) 929-9337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20160523000773 | IL | Order and Referring Only - Dentist | 6103115068 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-016941 | IL | MD | Dentist |
| 28799 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1245315092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3508 N JANSSEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606571324",
"telephone_number": "773-929-9337",
"fax_number": "773-929-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3759 N SOUTHPORT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133718",
"telephone_number": "773-466-4401",
"fax_number": "773-929-9336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "ALAN",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "28799",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19-016941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.