Active NPI
John P Robrock
- Family Medicine Physician
- Eagan, MN
National Provider Identifier
1285613992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32746
- Practice address
- 1885 Plaza Dr
Park Nicollet Clinic - Eagan
Eagan, MN 55122-2612 - Phone
- (952) 993-4001
- Fax
- (952) 993-4075
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32746 | MN | Primary |
Addresses
Primary practice location
1885 Plaza Dr
Park Nicollet Clinic - Eagan
Eagan, MN 55122-2612
Mailing address
6464 Wayzata Blvd
Ste 315
St Louis Park, MN 55426-1710
Phone (952) 993-7169
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32746 | MN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1285613992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6464 WAYZATA BLVD",
"address_2": "STE 315",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261710",
"telephone_number": "952-993-7169",
"fax_number": "952-993-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 PLAZA DR",
"address_2": "PARK NICOLLET CLINIC - EAGAN",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222612",
"telephone_number": "952-993-4001",
"fax_number": "952-993-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBROCK",
"first_name": "JOHN",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "32746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.