Individual provider Active NPI

Megan Theresa Robl, M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
National Provider Identifier
1649567595
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
Q2701 Issued in TX
Practice address
14856 Preston Rd
Dallas, TX 75254-6822
Phone
(816) 509-9186
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 43011098896 MI
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Q2701 TX Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30519 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 60715 KS
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS040747 PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2013-01019 NC

Addresses

Primary practice location

14856 Preston Rd
Dallas, TX 75254-6822

Mailing address

14856 Preston Rd
Dallas, TX 75254-6822
Phone (816) 509-9186

Medicare participation

Medicare enrollment files
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 Jul 15, 2024 through Jul 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60715KSMDOral and Maxillofacial Surgery (Dentist)
2013-01019NCMDOral and Maxillofacial Surgery (Dentist)
DS040747PAMDOral and Maxillofacial Surgery (Dentist)
30519TXMDOral and Maxillofacial Surgery (Dentist)
Q2701TXMDOral and Maxillofacial Surgery (Dentist)
43011098896MIMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1649567595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14856 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546822",
            "telephone_number": "816-509-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14856 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546822",
            "telephone_number": "816-509-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBL",
        "first_name": "MEGAN",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "43011098896",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "Q2701",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "30519",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "60715",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS040747",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "2013-01019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.