Individual provider Active NPI

Robert A Lindinger, DDS

  • Dentist
  • Winslow, AZ
National Provider Identifier
1366410128
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D2600 Issued in AZ
Practice address
620 Lee St
Winslow, AZ 86047-2435
Phone
(928) 289-2000
Fax
(928) 213-6136
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D2600 AZ Primary

Addresses

Primary practice location

620 Lee St
Winslow, AZ 86047-2435

Mailing address

6125 E Olson Dr
Flagstaff, AZ 86004-7188
Phone (928) 289-2000

Other identifiers 1

IdentifierTypeStateIssuer
089591MedicaidAZ

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
D2600AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1366410128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 E OLSON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047188",
            "telephone_number": "928-289-2000",
            "fax_number": "928-213-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LEE ST",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472435",
            "telephone_number": "928-289-2000",
            "fax_number": "928-213-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDINGER",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D2600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089591",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winslow, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.