Individual provider Active NPI

Robin Oklin Bernard, DDS

  • Dentist
  • West Bloomfield, MI
National Provider Identifier
1831326883
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018285 Issued in MI
Practice address
4709 Walnut Glen CT
West Bloomfield, MI 48323-4006
Phone
(248) 669-5552
NPI assigned
Jun 17, 2009
Last updated
Jun 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018285 MI Primary

Addresses

Primary practice location

4709 Walnut Glen CT
West Bloomfield, MI 48323-4006

Mailing address

4709 Walnut Glen CT
West Bloomfield, MI 48323-4006
Phone (248) 669-5552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20161019001126 MI Order and Referring Only - DentistPractitioner - Dentist 3072801307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1831326883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 WALNUT GLEN CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483234006",
            "telephone_number": "248-669-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 WALNUT GLEN CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483234006",
            "telephone_number": "248-669-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "ROBIN",
        "middle_name": "OKLIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.