Jessica Lorraine Robertson, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D6814 Issued in AZ

Practice address

1024 N San Francisco
Suite 101
Flagstaff, AZ 86001

Phone

(928) 779-0385

Fax

(928) 779-6487

NPI assigned

Sep 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Around the Mountain Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Flagstaff, AZ
  • NPI 1831344167
  NPD (past)
• Thomas W Turnbull DDS PC

  • Pediatric Dentistry
  • Flagstaff, AZ
  • NPI 1760544704
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316041437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 W SEQUOIA DRIVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-213-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N SAN FRANCISCO",
            "address_2": "SUITE 101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-779-0385",
            "fax_number": "928-779-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JESSICA",
        "middle_name": "LORRAINE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D6814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Wayne Miller II (The Body Shop PT Clinic)
• Audrey Jean Roberts, MD
• Diana Ray Roberts, COTA/L
• Jennifer Roberts
• Brittany Robertson, M.D.
• Kirk James Robertson, DMD
• Jonathan David Robinson, D.D.S.
• Carrie Roby, RN
• Jeffrey P Rockow, M.D.
• Sasha Yasmin Rodriguez

• Pediatric Dentistry in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Pediatric Dentistry in Arizona

• 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.