Robinson Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ROBINSON DENTAL LLC

Practice address

4274 N Eagle Rd
Boise, ID 83713-0726

Phone

(209) 994-5922

NPI assigned

Jul 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Lavell Porter Robinson, DMDNPI 1063074714

Title

Owner Employee

Phone

(208) 954-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lavell Porter Robinson, DMD

  • Dentist
  • Boise, ID
  • NPI 1063074714
  NPD (past) Authorized official

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1710549456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 E FLORENCE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426048",
            "telephone_number": "208-954-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4274 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130726",
            "telephone_number": "209-994-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LAVELL",
        "authorized_official_middle_name": "PORTER",
        "authorized_official_title_or_position": "OWNER EMPLOYEE",
        "authorized_official_telephone_number": "208-954-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Robertson, M.S.,CCC-SLP
• Bradley Robertson, D.D.S
• Jeremy Robertson
• Jordan Robertson, D.C.
• Kari Ann Robertson, D.C.
• Abbigail Robinson
• Geoffrey N Robinson, RPH, MBA
• Heather L Robinson, SLP
• Janet Gail Robinson, D.O.
• Jennifer Yvonne Robinson, CSFA, CST

• Dental Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.