NPIMap

Organization Active NPI

Clyde M. Robinson D.D.S.,M.SC.D., P.C.

  • Periodontics
  • Tucson, AZ
National Provider Identifier
1720280258
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2163 Issued in AZ
Legal business name
CLYDE M. ROBINSON D.D.S.,M.SC.D., P.C.
Practice address
2330 N Rosemont Blvd
#A
Tucson, AZ 85712-2163
Phone
(520) 327-0263
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Clyde M. Robinson III, D.D.S.,M.SC.D.
Title
President
Phone
(520) 327-0263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 2163 AZ Primary

Addresses

Primary practice location

2330 N Rosemont Blvd
#A
Tucson, AZ 85712-2163

Mailing address

2330 N Rosemont Blvd
#A
Tucson, AZ 85712-2163
Phone (520) 327-0263

National Provider Directory

National Provider Directory

Locations

2330 N Rosemont Blvd
Unit A
Tucson, AZ 85712
Phone (520) 327-0263

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1720280258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 N ROSEMONT BLVD",
            "address_2": "#A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122163",
            "telephone_number": "520-327-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N ROSEMONT BLVD",
            "address_2": "#A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122163",
            "telephone_number": "520-327-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYDE M. ROBINSON D.D.S.,M.SC.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-327-0263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S.,M.SC.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.