Active NPI
Mackenzie Roblee, DDS
- Dentist
- Fayetteville, AR
National Provider Identifier
1831684513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4486
- Practice address
- 3484 W Wedington Dr Ste 7
Fayetteville, AR 72704-7164 - Phone
- (479) 348-2348
- NPI assigned
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4486 | AR | Primary |
Addresses
Primary practice location
3484 W Wedington Dr Ste 7
Fayetteville, AR 72704-7164
Mailing address
5518 W Walsh LN
Rogers, AR 72758-8947
Other practice location 1
3101 SE 14th St
Bentonville, AR 72712-4900
Phone (479) 348-2348
Other practice location 2
5518 W Walsh Ln
Rogers, AR 72758-8947
Phone (479) 348-2348
Other practice location 3
7058 W Sunset Ave Ste 9B
Springdale, AR 72762-0697
Phone (479) 348-2348
Other names 1
- Mackenzie Youngman
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 |
|---|---|---|---|
| 4486 | AR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1831684513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5518 W WALSH LN",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3484 W WEDINGTON DR STE 7",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727047164",
"telephone_number": "479-348-2348"
}
],
"practiceLocations": [
{
"address_1": "3101 SE 14th St",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727124900",
"country_code": "US",
"telephone_number": "479-348-2348",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5518 W Walsh Ln",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727588947",
"country_code": "US",
"telephone_number": "479-348-2348",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7058 W Sunset Ave Ste 9B",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "727620697",
"country_code": "US",
"telephone_number": "479-348-2348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBLEE",
"first_name": "MACKENZIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "4486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MACKENZIE",
"last_name": "YOUNGMAN",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.