Corey Roberson, D.D.S., M.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30.024982 Issued in OH

Practice address

6175 Glenway Ave Ste a
Cincinnati, OH 45211-6337

Phone

(513) 318-4775

NPI assigned

May 17, 2015

Last updated

Feb 3, 2023By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dentists at Hyde Park Plaza, PC, Inc

  dba Dentists at Hyde Park Plaza

  • Dentist
  • Cincinnati, OH
  • NPI 1255994463
  NPD (past)
• Dentists of Westwood PC, Inc.

  dba Dentists of Westwood

  • Dentist
  • Cincinnati, OH
  • NPI 1669936282
  NPD (past)
• Springdale Modern Dentistry, PC, Inc.

  dba Springdale Modern Dentistry

  • Dentist
  • Springdale, OH
  • NPI 1518428374
  NPD (past)
• Park and Rygg Dental Corporation

  dba Camino Dental Group

  • General Practice Dentistry
  • Encinitas, CA
  • NPI 1023105574
  NPD (past)

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1295113736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 GLENWAY AVE STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116337",
            "telephone_number": "513-318-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 GLENWAY AVE STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116337",
            "telephone_number": "513-318-4775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 E Kemper Rd",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "OH",
            "postal_code": "452463228",
            "country_code": "US",
            "telephone_number": "513-729-7245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3802 Paxton Ave Ste 12A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452092399",
            "country_code": "US",
            "telephone_number": "513-898-1194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-17",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS104829",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011220",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Robbins, DO
• Nijala Sarah Robbins, LPN
• Ronnie Robbins Jr.
• Samantha Haggerty Roberge
• Julie M Robers
• Korine Monique Roberson, LPN
• Linda Donnell Roberson
• Robert C Glueck DDS Inc
• Robert E. Weltman
• Robert H Efkeman DMD Inc

• Dentist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.