Individual provider Active NPI

Matthew Robin, DMD

  • Dentist
  • Lake Mary, FL
National Provider Identifier
1821619263
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25416 Issued in FL
Practice address
938 International Pkwy Ste 1500
Lake Mary, FL 32746-5227
Phone
(407) 688-3697
NPI assigned
Apr 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25416 FL Primary

Addresses

Primary practice location

938 International Pkwy Ste 1500
Lake Mary, FL 32746-5227

Mailing address

11933 Derbyshire Dr
Tampa, FL 33626-2646
Phone (407) 314-4793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20200827000332 LA Order and Referring Only - DentistPractitioner - Dentist 2264859925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN25416FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Flossophy of College Park PA CurrentSince Jul 1, 2024 Accepting new patients

Locations

3600 Formosa Ave
Orlando, FL 32804
Phone (407) 898-2972

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1821619263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11933 DERBYSHIRE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262646",
            "telephone_number": "407-314-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 INTERNATIONAL PKWY STE 1500",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465227",
            "telephone_number": "407-688-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBIN",
        "first_name": "MATTHEW",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.