Active NPI
Glenn Todd Robison, D.M.D
- General Practice Dentistry
- Edwards, CO
National Provider Identifier
1821210436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN8978
- Practice address
- 34323 US Hwy 6 C-107
Edwards, CO 81632 - Phone
- (970) 926-7325
- Fax
- (970) 926-7327
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 | DEN8978 | CO | Primary |
Addresses
Primary practice location
34323 US Hwy 6 C-107
Edwards, CO 81632
Mailing address
PO Box 2690
Edwards, CO 81632-2690
Phone (970) 926-7325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN8978 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Dentistry LLC | 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 and National Provider Directory roles.
-
- Dentist
- Edwards, CO
- NPI 1649349812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821210436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2690",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816322690",
"telephone_number": "970-926-7325",
"fax_number": "970-926-7327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34323 US HWY 6 C-107",
"city": "EDWARDS",
"state": "CO",
"postal_code": "81632",
"telephone_number": "970-926-7325",
"fax_number": "970-926-7327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBISON",
"first_name": "GLENN",
"middle_name": "TODD",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN8978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwards, CO
- Shauna Jenee Ratcliff, MS, OTR/L
- Jennifer Rathbun, DC
- Jeffrey I Resnick, MD
- Riverwalk Natural Health Clinic and Natural Pharmacy LLC
- Riverwalk Periodontics LLC
- Jeffrey J Rockwell, MD
- Rocky Mountain Audiology LLC
- Rocky Mountain Vein Institute, PLLC
- Joshua Joseph Rodgers, M.D.
- Daniela Paula Rodriguez Melgarejo, M.A, CCC-SLP
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.