Robert W Robinson III, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

490 Issued in AK

Practice address

935 Westpoint Dr
Suite 201
Wasilla, AK 99654-7143

Phone

(907) 376-3884

Fax

(907) 373-7500

NPI assigned

Jul 25, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AK

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vdcak

  • Dental Clinic/Center
  • Wasilla, AK
  • NPI 1639785504
  NPD Authorized official
• Valley Dental Clinic

  • Dentist
  • Wasilla, AK
  • NPI 1437419447
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1578586160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WESTPOINT DR",
            "address_2": "SUITE 201",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547143",
            "telephone_number": "907-376-3884",
            "fax_number": "907-373-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WESTPOINT DR",
            "address_2": "SUITE 201",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547143",
            "telephone_number": "907-376-3884",
            "fax_number": "907-373-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "5657",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD2628",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert E Martin, MD Apc
• Courtney Lynn Roberts
• James Roberts, MD
• Shawn Adele Roberts, MS FNP
• Bradley J. Robinson, D.M.D.
• Joselyn Mariah Robles
• Erin Rockey
• Shawn William Rodgers
• Marlene Rodriguez
• Ramon Alberto Rodriguez

• General Practice Dentistry in Wasilla, AK
• Providers in Wasilla, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.