Roger Duane Robinson Jr., D.M.D., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN17364 Issued in FL

Practice address

3595 Cardinal Point Dr
Jacksonville, FL 32257-5500

Phone

(904) 737-2040

Fax

(904) 737-2051

NPI assigned

Jan 9, 2007

Last updated

Oct 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 28, 2015 through Apr 28, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roger D. Robinson Jr., D.M.D., P.a.

  • Dental Clinic/Center
  • Jacksonville, FL
  • NPI 1003191099
  NPD (past) Authorized official
• Michael a Chanatry DDS PA

  • Periodontics
  • Jacksonville, FL
  • NPI 1942467345
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1629127956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575500",
            "telephone_number": "904-737-2040",
            "fax_number": "904-737-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575500",
            "telephone_number": "904-737-2040",
            "fax_number": "904-737-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ROGER",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN17364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Robinson
• Michelle Leveta Robinson, PT, DPT
• Nancy R Robinson, ARNP CNM
• Norshae Robinson, DPM
• Pamela R Robinson
• Sade D Robinson
• Samantha Commella Robinson, APRN
• Sarah Robinson, PH.D.
• Shamicia Robinson
• Shea Robinson

• Periodontics in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.