Kevin Jon Robertson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

20867 Issued in OH

Practice address

10139 Royalton Road
Suite E
North Royalton, OH 44133

Phone

(440) 230-2323

Fax

(440) 230-2229

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750491924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18771 E SHORELAND AVENUE",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "44116",
            "telephone_number": "440-331-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10139 ROYALTON ROAD",
            "address_2": "SUITE E",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "44133",
            "telephone_number": "440-230-2323",
            "fax_number": "440-230-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KEVIN",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "20867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Richards, PT
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• Anita J Robertson, DDS
• Melanie M Rohrbach, PT
• Natalie E Rohweder, RPH
• Ronald E. Ludrosky B.S., D.C., Inc. (Chiropractic Health Center of North Royalton)
• Karen Ross, RN
• Rita Marie Roth

• Dentist in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.