Robert Crockett Todd III, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS-021692-L Issued in PA

Practice address

291 Evans City Rd
Butler, PA 16001-2754

Phone

(724) 282-7774

Fax

(724) 282-7748

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in PA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679692164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 EVANS CITY RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012754",
            "telephone_number": "724-282-7774",
            "fax_number": "724-282-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 EVANS CITY RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012754",
            "telephone_number": "724-282-7774",
            "fax_number": "724-282-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "ROBERT",
        "middle_name": "CROCKETT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-021692-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albino F Tiburcio Jr., MD
• Nichole Tiche, CRNP
• Kimberly Renee Timmerman, DPT
• Susan D Tirch, PHARMD
• Noopur Tiwari, M.D
• Julian C Tolentino, M.D.
• Paul Edward Tomasovic, DMD
• Tony M. Maalouf, M.D.,P.C.
• James Robert Torok, MSW/LSW
• Transformation Counseling Center Inc.

• Dentist in Butler, PA
• Providers in Butler, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.