Individual provider Active NPI

Robin Lynn Harrison, D.D.S.

  • General Practice Dentistry
  • Stephenville, TX
National Provider Identifier
1720298995
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23241 Issued in TX
Practice address
2299 Senator Robert J Glasgow Loop
Stephenville, TX 76401-1701
Phone
(254) 592-8878
NPI assigned
May 23, 2007
Last updated
Jul 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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 23241 TX Primary

Addresses

Primary practice location

2299 Senator Robert J Glasgow Loop
Stephenville, TX 76401-1701

Mailing address

2299 Senator Robert J Glasgow Loop
Stephenville, TX 76401-1701
Phone (254) 592-8878

Other identifiers 1

IdentifierTypeStateIssuer
190701601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 24, 2015 through Jul 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23241TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robin L. Harrison, D.D.S. & Crista K. Harrison, D.D.S., P.C. General Practice CurrentSince Jul 21, 2024 Accepting new patients

Locations

2299 Senator Robert J Glasgow Loop
Stephenville, TX 76401
Phone (254) 592-8878

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1720298995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 SENATOR ROBERT J GLASGOW LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011701",
            "telephone_number": "254-592-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 SENATOR ROBERT J GLASGOW LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011701",
            "telephone_number": "254-592-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-07-13",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190701601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

Verify at the official NPI Registry.