Individual provider Active NPI

Harold Lincoln Robinson III, DMD

  • Pediatric Dentistry
  • Holland, MI
National Provider Identifier
1477093425
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2901600999 Issued in MI
Practice address
845 E 16TH St
Holland, MI 49423-9130
Phone
(484) 467-1036
NPI assigned
Feb 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D010314 AZ
Pediatric Dentistry 1223P0221X 2901600999 MI Primary

Addresses

Primary practice location

845 E 16TH St
Holland, MI 49423-9130

Mailing address

845 E 16TH St
Holland, MI 49423-9130
Phone (484) 467-1036

Other practice location 1

7006 S Central Ave
Phoenix, AZ 85042-5423
Phone (602) 276-1029

Other practice location 2

12165 Elm St
Princess Anne, MD 21853-1358
Phone (484) 467-1036

Other identifiers 1

IdentifierTypeStateIssuer
592243MedicaidAZ

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

LicenseStateTypeSpecialty
D010314AZMDPediatric Dentist
2901600999MIMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1477093425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 E 16TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494239130",
            "telephone_number": "484-467-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 E 16TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494239130",
            "telephone_number": "484-467-1036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7006 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850425423",
            "country_code": "US",
            "telephone_number": "602-276-1029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12165 Elm St",
            "address_purpose": "LOCATION",
            "city": "Princess Anne",
            "state": "MD",
            "postal_code": "218531358",
            "country_code": "US",
            "telephone_number": "484-467-1036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "HAROLD",
        "middle_name": "LINCOLN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-23",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D010314",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901600999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "592243",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.