Tara Robinson, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

100366116 Issued in WI

Practice address

4060 S Lake Dr Apt 4
Saint Francis, WI 53235-5256

Phone

(407) 375-3003

Fax

(800) 863-5373

NPI assigned

Nov 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• LTC Dental

  • Dental Clinic/Center
  • Saint Francis, WI
  • NPI 1124619556
  NPD Authorized official
• LTC Dental II LLC

  • Dentist
  • Saint Francis, WI
  • NPI 1780341099

  Dental Hygienist

  NPD Authorized official

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1609478585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 S LAKE DR APT 4",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532355256",
            "telephone_number": "407-375-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 S LAKE DR APT 4",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532355256",
            "telephone_number": "407-375-3003",
            "fax_number": "800-863-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "21470",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020016866",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "100366116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Pyne, MD
• Quality Healthcare Services, LLC
• Scott Matthew Reabe, M.D.
• Sarah E. Reimer, M.D.
• Robert Hall DDS
• Vicki Roth, PT
• Roundys Supermarkets Inc
• Maria Adilene Ruiz, APNP
• Sushil S. Sabnis, M.D.
• Madhu S Sadagopan, MD

• Dental Hygienist in Saint Francis, WI
• Providers in Saint Francis, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.