Active NPI
Robin P Steely, DDS, P.C.
- General Practice Dentistry
- Battle Creek, MI
National Provider Identifier
1750494779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13231
- Practice address
- 5761 Morgan Rd E
Battle Creek, MI 49017-2659 - Phone
- (269) 968-8151
- Fax
- (269) 968-9659
- NPI assigned
- Aug 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13231 | MI | Primary |
Addresses
Primary practice location
5761 Morgan Rd E
Battle Creek, MI 49017-2659
Mailing address
5761 Morgan Rd E
Battle Creek, MI 49017-2659
Phone (269) 968-8151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4062899 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150518001909 | MI | Order and Referring Only - Other (Non-Physician) | 7719895994 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13231 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paymon a Dorri DDS PLLC | 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, 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": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750494779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5761 MORGAN RD E",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490172659",
"telephone_number": "269-968-8151",
"fax_number": "269-968-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5761 MORGAN RD E",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490172659",
"telephone_number": "269-968-8151",
"fax_number": "269-968-9659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELY",
"first_name": "ROBIN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS, P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "13231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4062899",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Battle Creek, MI
- Carman Eugene Stark, PH.D.
- Green Berry Starnes IV, D.D.S.
- Starr Commonwealth
- Jenifer Adriana Steele
- Kevin L Steely, D.D.S.
- Kamareona Promise Stein
- Gregory James Steinsdoerfer, PHD
- Stephens Home LLC (Stephens Home)
- Stepping Stones Professional Limited Liability Company (Stepping Stones Counseling)
- Daniel Patrick Stewart, M.D.
Sources for this page
- 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.