Organization Active NPI

Rebecca L Robbins DDS LLC

  • Pediatric Dentistry
  • Mayfield HTS, OH
National Provider Identifier
1770733610
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.21570 Issued in OH
Legal business name
REBECCA L ROBBINS DDS LLC
Practice address
1220 Som Center Road
Suite B
Mayfield HTS, OH 44124
Phone
(440) 442-5437
Fax
(440) 442-5438
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Dr. Rebecca L Robbins, DDS
Title
Owner
Phone
(440) 442-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 30.21570 OH Primary

Addresses

Primary practice location

1220 Som Center Road
Suite B
Mayfield HTS, OH 44124

Mailing address

1220 Som Center Road
Suite B
Mayfield HTS, OH 44124
Phone (440) 442-5437

Other identifiers 1

IdentifierTypeStateIssuer
2774510MedicaidOH

National Provider Directory

National Provider Directory

Locations

1220 Som Center Rd
#B
Mayfield Heights, OH 44124
Phone (440) 442-5437

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1770733610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 SOM CENTER ROAD",
            "address_2": "SUITE B",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-442-5437",
            "fax_number": "440-442-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SOM CENTER ROAD",
            "address_2": "SUITE B",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-442-5437",
            "fax_number": "440-442-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA L ROBBINS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-442-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.21570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2774510",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.