Individual provider Active NPI

Troy Daniel Robeck, D.D.S.

  • General Practice Dentistry
  • Kenai, AK
National Provider Identifier
1457664336
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1344 Issued in AK
Practice address
395 Main Street Loop
Kenai, AK 99611-7727
Phone
(907) 283-7759
Fax
(907) 283-4883
NPI assigned
Jul 20, 2010
Last updated
Jul 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1344 AK Primary

Addresses

Primary practice location

395 Main Street Loop
Kenai, AK 99611-7727

Mailing address

395 Main Street Loop
Kenai, AK 99611-7727
Phone (907) 283-7759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Community Health Services of Alaska, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1457664336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 MAIN STREET LOOP",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117727",
            "telephone_number": "907-283-7759",
            "fax_number": "907-283-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 MAIN STREET LOOP",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117727",
            "telephone_number": "907-283-7759",
            "fax_number": "907-283-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBECK",
        "first_name": "TROY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

Verify at the official NPI Registry.