Individual provider Active NPI

Robin Ricardo Daniel, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Nashville, TN
National Provider Identifier
1447317953
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS4464 Issued in TN
Practice address
1829 Jo Johnston Avenue
Nashville, TN 37203-2120
Phone
(615) 327-9944
Fax
(615) 327-0730
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS4464 TN Primary

Addresses

Primary practice location

1829 Jo Johnston Avenue
Nashville, TN 37203-2120

Mailing address

1829 Jo Johnston Ave
Nashville, TN 37203-2870
Phone (615) 327-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721001113 TN Practitioner - Oral Surgery 6305824194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS4464TNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Medical College CurrentSince Jul 1, 2018 Accepting new patients
Dreamteam Oral Surgery and Orthodontic Specialty Group Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6000

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1447317953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 JO JOHNSTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032870",
            "telephone_number": "615-327-9944",
            "fax_number": "615-327-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 JO JOHNSTON AVENUE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032120",
            "telephone_number": "615-327-9944",
            "fax_number": "615-327-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "ROBIN",
        "middle_name": "RICARDO",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS4464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.