Individual provider Active NPI

Robina Habib, DMD

  • General Practice Dentistry
  • Ooltewah, TN
National Provider Identifier
1821762063
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11653 Issued in TN
Practice address
1728 Ooltewah Ringgold Rd
Ooltewah, TN 37363-9381
Phone
(423) 671-7550
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN122332 GA
General Practice Dentistry 1223G0001X 11653 TN Primary

Addresses

Primary practice location

1728 Ooltewah Ringgold Rd
Ooltewah, TN 37363-9381

Mailing address

8381 Lady Slipper Rd
Chattanooga, TN 37421-4393
Phone (860) 839-9441

Other practice location 1

17 Parkway Dr
Fort Oglethorpe, GA 30742-4249
Phone (706) 944-3122

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

LicenseStateTypeSpecialty
DN122332GAMDDentist
11653TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Dental Professionals, PC General Practice CurrentSince May 4, 2025 Accepting new patients
Bright Family Dentistry General Practice CurrentSince May 4, 2025 Accepting new patients
Ga Prime Dental, L.L.C. Dentist PastSince Aug 1, 2021 Accepting new patients
Prime Dental LLC Dentist PastSince Aug 1, 2021 Accepting new patients

Locations

1728 Ooltewah Ringgold Rd
Ooltewah, TN 37363
Phone (423) 671-7550

Organizations & group practices 4

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1821762063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 LADY SLIPPER RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214393",
            "telephone_number": "860-839-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 OOLTEWAH RINGGOLD RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639381",
            "telephone_number": "423-671-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Oglethorpe",
            "state": "GA",
            "postal_code": "307424249",
            "country_code": "US",
            "telephone_number": "706-944-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABIB",
        "first_name": "ROBINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2025-05-01",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122332",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.