Individual provider Active NPI

Robert F Binkley Jr., DDS, PA

  • General Practice Dentistry
  • Matthews, NC
National Provider Identifier
1720132491
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4834 Issued in NC
Practice address
2435 Plantation Center Dr
Suite 100
Matthews, NC 28105-5147
Phone
(704) 847-7426
Fax
(704) 847-5417
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4834 NC Primary

Addresses

Primary practice location

2435 Plantation Center Dr
Suite 100
Matthews, NC 28105-5147

Mailing address

5906 Poplin Rd
Indian Trail, NC 28079-6729
Phone (704) 847-7426

Other identifiers 1

IdentifierTypeStateIssuer
8990729MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4834NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews Dental Care General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720132491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 POPLIN RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280796729",
            "telephone_number": "704-847-7426",
            "fax_number": "704-847-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 PLANTATION CENTER DR",
            "address_2": "SUITE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055147",
            "telephone_number": "704-847-7426",
            "fax_number": "704-847-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINKLEY",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "DDS, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990729",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.