Larry Wayne Robben, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4941 Issued in FL

Practice address

3000 N Atlantic Ave
Suite 103
Cocoa Beach, FL 32931

Phone

(321) 784-1300

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• L Wayne Robben Professional name

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.

• L Wayne Robben DDS PA

  • Dentist
  • Cocoa Beach, FL
  • NPI 1538250485
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255433256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FAIRWAY DR",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "32931",
            "telephone_number": "321-783-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N ATLANTIC AVE",
            "address_2": "SUITE 103",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "32931",
            "telephone_number": "321-784-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBEN",
        "first_name": "LARRY",
        "middle_name": "WAYNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "4941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L",
            "last_name": "ROBBEN",
            "middle_name": "WAYNE",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brenna Reyes, ATC, LAT
• Richard F. Lamacchia, PHD, PA
• Thomas W. Rider, MH 8601
• Tim David Robarts, MD
• Christa Anne Robben, D.C.
• Robert C Udell DO LLC
• Sophonie Robinson
• Rocket Health Care LLC
• Rocket Well
• Jose R Rodriguez, BS RPH

• Dentist in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Dentist in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.