Individual provider Active NPI

Robert Harlan Cheney, DDS

  • General Practice Dentistry
  • Saint Paul, MN
National Provider Identifier
1295757482
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11152 Issued in MN
Practice address
1371 7TH St W
Saint Paul, MN 55102-4205
Phone
(651) 222-0351
Fax
(651) 222-1556
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11152 MN Primary

Addresses

Primary practice location

1371 7TH St W
Saint Paul, MN 55102-4205

Mailing address

1371 7TH St W
Saint Paul, MN 55102-4205
Phone (651) 222-0351

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11152MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Dentists General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295757482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024205",
            "telephone_number": "651-222-0351",
            "fax_number": "651-222-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024205",
            "telephone_number": "651-222-0351",
            "fax_number": "651-222-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENEY",
        "first_name": "ROBERT",
        "middle_name": "HARLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • 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.