Bradley J. Robinson, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

120393 Issued in AK

Practice address

3470 E Meridian Park Loop
Wasilla, AK 99654-7294

Phone

(907) 373-8684

Fax

(907) 373-8465

NPI assigned

Apr 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Dentistry of Alaska

  • Dental Clinic/Center
  • Wasilla, AK
  • NPI 1568616548

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1386088136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 WESTVIEW DR",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840587472",
            "telephone_number": "623-695-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 E MERIDIAN PARK LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547294",
            "telephone_number": "907-373-8684",
            "fax_number": "907-373-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Utah Hospital",
            "address_2": "50 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320001",
            "country_code": "US",
            "telephone_number": "801-581-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "BRADLEY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AK",
            "license": "120393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Cassell DDS PC Wasilla Dental Center
• Robert E Martin, MD Apc
• Courtney Lynn Roberts
• James Roberts, MD
• Shawn Adele Roberts, MS FNP
• Robert W Robinson III, D.M.D
• Joselyn Mariah Robles
• Erin Rockey
• Shawn William Rodgers
• Marlene Rodriguez

• Pediatric Dentistry in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Pediatric Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.