Active NPI
Lacey Leeann Robinson, D.D.S.
- General Practice Dentistry
- Havelock, NC
National Provider Identifier
1508375676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10797
- Practice address
- 610 Miller Boulevard
Havelock, NC 28532 - Phone
- (252) 447-1135
- Fax
- (252) 447-6956
- NPI assigned
- Sep 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10797 | NC | Primary |
| Mental Health Counselor | 101YM0800X | A21185 | NC |
Addresses
Primary practice location
610 Miller Boulevard
Havelock, NC 28532
Mailing address
P.O. Box 942
610 Miller Boulevard
Havelock, NC 28532
Phone (252) 447-1135
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 |
|---|---|---|---|
| A21185 | NC | MD | Mental Health Counselor |
| 10797 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph P. Robinson, Jr., D.D.S., P.a. | General Practice | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Havelock, NC
- NPI 1942374376
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1508375676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 942",
"address_2": "610 MILLER BOULEVARD",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "28532",
"telephone_number": "252-447-1135",
"fax_number": "252-447-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 MILLER BOULEVARD",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "28532",
"telephone_number": "252-447-1135",
"fax_number": "252-447-6956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "LACEY",
"middle_name": "LEEANN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10797",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A21185",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havelock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.