Active NPI
Reese John Robinson, D.M.D.
- General Practice Dentistry
- Brewton, AL
National Provider Identifier
1497972061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3697
- Practice address
- 102 Mason St
Brewton, AL 36426 - Phone
- (251) 867-3273
- Fax
- (251) 867-3274
- NPI assigned
- Apr 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3697 | AL | Primary |
Addresses
Primary practice location
102 Mason St
Brewton, AL 36426
Mailing address
102 Mason St
Brewton, AL 36426-1536
Phone (251) 867-3273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630821835 | Other | AL | TAX IDENTIFICATION NUMBER |
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 |
|---|---|---|---|
| 3697 | AL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497972061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MASON ST",
"city": "BREWTON",
"state": "AL",
"postal_code": "364261536",
"telephone_number": "251-867-3273",
"fax_number": "251-867-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MASON ST",
"city": "BREWTON",
"state": "AL",
"postal_code": "36426",
"telephone_number": "251-867-3273",
"fax_number": "251-867-3274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "REESE",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "3697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "630821835",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brewton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.