Active NPI
Glen N Robison DPM PLC
- Podiatrist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- GLEN N ROBISON DPM PLC
- Practice address
- 6242 E Arbor Ave Ste 116
Mesa, AZ 85206-1309 - Phone
- (480) 985-1093
- NPI assigned
- Oct 9, 2006
- Last updated
- Jun 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glen N Robison, DPM
- Title
- President
- Phone
- (480) 985-1093
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
6242 E Arbor Ave Ste 116
Mesa, AZ 85206-1309
Mailing address
PO Box 20610
Mesa, AZ 85277-0610
Phone (480) 985-1093
Other practice location 1
5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (480) 985-1093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930085939 | AZ | DME Supplier - Physician - Podiatry | 5496967192 |
1 other NPI on this enrollment Practice locations: Mesa, AZ |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
1100 E Monroe St
Ste 201
Globe, AZ 85501
5882 S Hospital Dr
Ste 2
Globe, AZ 85501
Phone (928) 425-3338
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Mesa, AZ
- NPI 1366401606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748908800000",
"number": "1679660757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20610",
"city": "MESA",
"state": "AZ",
"postal_code": "852770610",
"telephone_number": "480-985-1093",
"fax_number": "480-296-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6242 E ARBOR AVE STE 116",
"city": "MESA",
"state": "AZ",
"postal_code": "852061309",
"telephone_number": "480-985-1093"
}
],
"practiceLocations": [
{
"address_1": "5880 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Globe",
"state": "AZ",
"postal_code": "855019447",
"country_code": "US",
"telephone_number": "480-985-1093",
"fax_number": "480-296-7665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GLEN N ROBISON DPM PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A",
"authorized_official_last_name": "ROBISON",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-985-1093",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.