Tyler Allan Robichaud, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901022265 Issued in MI

Practice address

67640 S Main St
Richmond, MI 48062-1926

Phone

(586) 727-7531

NPI assigned

Jun 27, 2017

Last updated

Mar 17, 2018By the provider in NPPES

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

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Downriver Community Services, Inc.

  dba Community First Health Centers

  • Federally Qualified Health Center (FQHC)
  • Algonac, MI
  • NPI 1851399570
  Medicare reassignment NPD
• Downriver Community Services, Inc.

  dba Community First Health Centers

  • Federally Qualified Health Center (FQHC)
  • Port Huron, MI
  • NPI 1184935488
  NPD
• Downriver Community Services, Inc.

  dba Community First Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Haven, MI
  • NPI 1679571392
  NPD
• Bailey Dental Group

  • Public Health Dentistry
  • Richmond, MI
  • NPI 1295346302
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265952683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49329 PERCHERON DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424715",
            "telephone_number": "586-549-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67640 S MAIN ST",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621926",
            "telephone_number": "586-727-7531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42490 Garfield Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480384200",
            "country_code": "US",
            "telephone_number": "586-649-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBICHAUD",
        "first_name": "TYLER",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richmond Opco LLC (Medilodge of Richmond)
• Richmond Physical Therapy Inc
• Richmond-Dental Associates
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 04270)
• Carol H. Robertson
• Kelsey Kay Rogensues
• Sherrie Ellen Royce, LPN
• Nancy Ann Rubino, RPH
• Andrew Ruczynski
• Theresa Jean Ruff, RN

• General Practice Dentistry in Richmond, MI
• Providers in Richmond, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.