Organization Active NPI

Jeremy Robinson DDS PLLC

  • Dentist
  • Cookeville, TN
National Provider Identifier
1386015352
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS7982 Issued in TN
Legal business name
JEREMY ROBINSON DDS PLLC
Practice address
738 E Spring St
Cookeville, TN 38501-4230
Phone
(931) 520-8880
Fax
(931) 520-8889
NPI assigned
Oct 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Rhonda Kay Robertson
Title
Office Manager
Phone
(931) 520-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS7982 TN Primary

Addresses

Primary practice location

738 E Spring St
Cookeville, TN 38501-4230

Mailing address

738 E Spring St
Cookeville, TN 38501-4230
Phone (931) 520-8880

Other identifiers 1

IdentifierTypeStateIssuer
F51MedicaidTN

Other names 1

  • Robinson DentalCare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1386015352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 E SPRING ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014230",
            "telephone_number": "931-520-8880",
            "fax_number": "931-520-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 E SPRING ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014230",
            "telephone_number": "931-520-8880",
            "fax_number": "931-520-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY ROBINSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-520-8880"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS7982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F51",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robinson DentalCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.