Active NPI
Robert Fraser Devin, DDS
- General Practice Dentistry
- Reno, NV
National Provider Identifier
1588817845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2787
- Practice address
- 1055 N Hills Blvd
Reno, NV 89506-8691 - Phone
- (775) 677-1055
- Fax
- (775) 677-1081
- NPI assigned
- Oct 30, 2008
- 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 | 2787 | NV | Primary |
Addresses
Primary practice location
1055 N Hills Blvd
Reno, NV 89506-8691
Mailing address
1055 N Hills Blvd
Reno, NV 89506-8691
Phone (775) 677-1055
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 |
|---|---|---|---|
| 2787 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stead Dental Clinic | General Practice | Past | Accepting new patients |
| Arete Dental LLC | General Practice | Past | Accepting new patients |
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": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1588817845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N HILLS BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895068691",
"telephone_number": "775-677-1055",
"fax_number": "775-677-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N HILLS BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895068691",
"telephone_number": "775-677-1055",
"fax_number": "775-677-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVIN",
"first_name": "ROBERT",
"middle_name": "FRASER",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-30",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "2787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.