Active NPI
Dr. Gregory a Robbins
- Pediatric Dentistry
- Elkhart, IN
National Provider Identifier
1710471016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12008725A
- Legal business name
- DR. GREGORY A ROBBINS
- Practice address
- 4420 E Bristol St
Elkhart, IN 46514-6946 - Phone
- (574) 264-9499
- NPI assigned
- Jun 20, 2018
- 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
- Sharon Heiliger
- Title
- Office Manager
- Phone
- (574) 264-9499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12008725A | IN | Primary |
Addresses
Primary practice location
4420 E Bristol St
Elkhart, IN 46514-6946
Mailing address
4420 E Bristol St
Elkhart, IN 46514-6946
Phone (574) 264-9499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100113440 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
4420 E Bristol St
Elkhart, IN 46514
Phone (574) 264-9499
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Elkhart, IN
- NPI 1164450615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1710471016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 E BRISTOL ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465146946",
"telephone_number": "574-264-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 E BRISTOL ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465146946",
"telephone_number": "574-264-9499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. GREGORY A ROBBINS",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-20",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "HEILIGER",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "574-264-9499"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "IN",
"license": "12008725A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100113440",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.