Individual provider Active NPI

Robby Thomas George, D.D.S.,M.D.S.

  • Pediatric Dentistry
  • Stafford, TX
National Provider Identifier
1578921045
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
38289 Issued in TX
Practice address
10435 Greenbough Dr Ste 300
Stafford, TX 77477-5034
Phone
(281) 342-4530
Fax
(585) 756-5577
NPI assigned
Jan 29, 2016
Last updated
May 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 000064 NY
Pediatric Dentistry 1223P0221X 38289 TX Primary

Addresses

Primary practice location

10435 Greenbough Dr Ste 300
Stafford, TX 77477-5034

Mailing address

10435 Greenbough Dr
Stafford, TX 77477-5000
Phone (281) 342-4530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20260515000915 TX Practitioner - Pediatric Dentistry 6103218615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Dentistry
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Austin St
Richmond, TX 77469-4498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38289TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bend Family Health Center, Inc. PastSince May 19, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robby.george.d1.p1@direct.accesshealth.nextgenshare.com

Organizations & group practices 2

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": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1578921045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 GREENBOUGH DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775000",
            "telephone_number": "281-342-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 GREENBOUGH DR STE 300",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775034",
            "telephone_number": "281-342-4530",
            "fax_number": "585-756-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ROBBY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "000064",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "38289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.