Alicia Robertson,PA, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9636 Issued in MD

Practice address

9417 Flower Ave
Silver Spring, MD 20901-3402

Phone

(301) 588-3310

Fax

(301) 588-3595

NPI assigned

Sep 29, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Alicia Robertson PA

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1750835971
  NPD
• Maranatha Robertson Dental

  • Dental Clinic/Center
  • Riverdale, MD
  • NPI 1730065483
  NPD

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1760632533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9417 FLOWER AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209013402",
            "telephone_number": "301-588-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 FLOWER AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209013402",
            "telephone_number": "301-588-3310",
            "fax_number": "301-588-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON,PA",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Roberts
• Hadassa Roberts, P.T.
• Michelle Chuen Roberts
• Nyanje Moiyatu Madona Roberts
• Yolande Marie Robertson-Hackney, MD
• Colleen Robichaud, PH.D
• Susan E. Robilotto, D.O.
• Amaia Robinson
• Caroline Robinson
• Jayda Robinson

• General Practice Dentistry in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.