Radley B Robins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30847 Issued in TX

Practice address

1362 Wilson Rd
Conroe, TX 77304

Phone

(936) 539-2211

Fax

(936) 539-2216

NPI assigned

Mar 3, 2011

Sex

Male

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)

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.

• Conroe Dental Partners PLLC

  dba Conroe Family Dentistry

  • General Practice Dentistry
  • Conroe, TX
  • NPI 1790422715
  NPD
• Conroe Family Dentistry PLLC

  • General Practice Dentistry
  • Conroe, TX
  • NPI 1689098303
  NPD
• Carolyn L Jovanovic PLLC

  dba Montgomery Park Dental

  • Dental Clinic/Center
  • Conroe, TX
  • NPI 1487239455
  NPD (past)

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1639477417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 WILSON RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "936-539-2211",
            "fax_number": "936-539-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 WILSON RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "936-539-2211",
            "fax_number": "936-539-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINS",
        "first_name": "RADLEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-03",
        "last_updated": "2020-10-02",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8023152-9921",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Royston Roberts, M.D.
• Shalisha Allison Roberts
• Sophie Roberts, PT, DPT, CPRCS
• Tamra Roberts, CST, CSFA
• Brent Justin Robertson, MD
• Angela Robinson, LPC-ASSOCIATE
• Laura Kay Robinson
• Heather L Robison, LPC
• Roca Medical Center
• Rodgers Stein Chiropractic, P.a.

• General Practice Dentistry in Conroe, TX
• Providers in Conroe, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.