Active NPI
Ryan James Robinson, DMD
- Dentist
- Page, AZ
National Provider Identifier
1326083577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7427
- Practice address
- 112 6TH Ave
Page, AZ 86040-0209 - Phone
- (928) 645-3206
- NPI assigned
- Jun 19, 2006
- Last updated
- Oct 2, 2019
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7427 | AZ | Primary |
Addresses
Primary practice location
112 6TH Ave
Page, AZ 86040-0209
Mailing address
PO Box 4046
Page, AZ 86040-4046
Phone (928) 640-6871
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41085264 | Medicaid | NM | |
| 789349 | Medicaid | AZ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Page Dental Center | Past | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Page, AZ
- NPI 1164689139
-
- Land Ambulance
- Montezuma Creek, UT
- NPI 1598198434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1326083577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4046",
"city": "PAGE",
"state": "AZ",
"postal_code": "860404046",
"telephone_number": "928-640-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 6TH AVE",
"city": "PAGE",
"state": "AZ",
"postal_code": "860400209",
"telephone_number": "928-645-3206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "RYAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "7427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41085264",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "789349",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Page, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.