Organization Active NPI

Brent M Robinson DDS PS

Doing business as robinson dental

  • Dentist
  • Lynnwood, WA
National Provider Identifier
1326153206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9394 Issued in WA
Legal business name
BRENT M ROBINSON DDS PS
Doing business as
robinson dental
Practice address
19108 33Rd Ave W
Ste B
Lynnwood, WA 98036-4728
Phone
(425) 778-1164
Fax
(425) 771-7836
NPI assigned
Aug 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brent Michael RobinsonNPI 1053426023
Title
Owner
Phone
(425) 778-1164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9394 WA Primary

Addresses

Primary practice location

19108 33Rd Ave W
Ste B
Lynnwood, WA 98036-4728

Mailing address

19108 33Rd Ave W
Ste B
Lynnwood, WA 98036-4728
Phone (425) 778-1164

Other names 1

  • robinson dental Doing business as

National Provider Directory

National Provider Directory

Locations

19108 33rd Ave W
Ste B
Lynnwood, WA 98036
Phone (206) 778-1164

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326153206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19108 33RD AVE W",
            "address_2": "STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364728",
            "telephone_number": "425-778-1164",
            "fax_number": "425-771-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19108 33RD AVE W",
            "address_2": "STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364728",
            "telephone_number": "425-778-1164",
            "fax_number": "425-771-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT M ROBINSON DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-778-1164",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "9394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "robinson dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.