Active NPI
Nathan Earl Robison, D.D.S.
- Prosthodontics
- Durango, CO
National Provider Identifier
1407176019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 202554
- Practice address
- 2323 W 2ND Ave Ste D
Durango, CO 81301-4646 - Phone
- (970) 259-5600
- Fax
- (970) 247-2820
- NPI assigned
- Jun 4, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 202554 | CO | |
| General Practice Dentistry | 1223G0001X | 202554 | CO | |
| Prosthodontics | 1223P0700X | 202554 | CO | Primary |
Addresses
Primary practice location
2323 W 2ND Ave Ste D
Durango, CO 81301-4646
Mailing address
2323 W 2ND Ave Ste D
Durango, CO 81301-4646
Phone (970) 259-5600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 202554 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Corners Dentures | Current | Accepting new patients | |
| Twin Buttes Dental | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Durango, CO
- NPI 1447763107
-
- Dentist
- Durango, CO
- NPI 1235591421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1407176019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 W 2ND AVE STE D",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014646",
"telephone_number": "970-259-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 W 2ND AVE STE D",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014646",
"telephone_number": "970-259-5600",
"fax_number": "970-247-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBISON",
"first_name": "NATHAN",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-04",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "202554",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "202554",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CO",
"license": "202554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.