Organization Active NPI

Robison Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gilbert, AZ
National Provider Identifier
1346717246
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ROBISON ORTHODONTICS LLC
Practice address
1355 S Higley Rd # 105
Gilbert, AZ 85296
Phone
(480) 888-7711
Fax
(480) 888-2895
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Dr. Brent Tyler Robison, DMD, MS, MSDNPI 1205011095
Title
Member
Phone
(480) 888-7711

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1355 S Higley Rd # 105
Gilbert, AZ 85296

Mailing address

1355 S Higley Rd # 105
Gilbert, AZ 85296
Phone (480) 888-7711

Other names 1

  • Robison Othodontics PC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.dropbox.com/s/n3n0bijpauex6c5/NPIupdatedinfo.pdf?dl=0 Direct

National Provider Directory

National Provider Directory

Locations

1355 S Higley Rd
Ste 105
Gilbert, AZ 85296
Phone (480) 888-7711

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1346717246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD # 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85296",
            "telephone_number": "480-888-7711",
            "fax_number": "480-888-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD # 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85296",
            "telephone_number": "480-888-7711",
            "fax_number": "480-888-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBISON ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-888-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.dropbox.com/s/n3n0bijpauex6c5/NPIupdatedinfo.pdf?dl=0",
            "affiliation": "N",
            "endpointDescription": "NPI Updated form",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": ".pdf",
            "address_1": "1355 S Higley Rd Ste 105",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852964799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Robison Othodontics PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.