Active NPI
Rebecca Robinson
- Dentist
- Wakefield, MA
National Provider Identifier
1275989063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1857225
- Practice address
- 968 Main St
Wakefield, MA 01880 - Phone
- (781) 245-2299
- NPI assigned
- May 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857225 | MA | Primary |
Addresses
Primary practice location
968 Main St
Wakefield, MA 01880
Mailing address
968 Main St
Wakefield, MA 01880-3989
Other practice location 1
5 Sylvan St
Peabody, MA 01960-1606
Phone (978) 595-1211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20160928002206 | MA | Order and Referring Only - Dentist | 9739476102 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857225 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1275989063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 MAIN ST",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018803989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 MAIN ST",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "01880",
"telephone_number": "781-245-2299"
}
],
"practiceLocations": [
{
"address_1": "5 Sylvan St",
"address_purpose": "LOCATION",
"city": "Peabody",
"state": "MA",
"postal_code": "019601606",
"country_code": "US",
"telephone_number": "978-595-1211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "REBECCA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-11",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.