NPIMap

Organization Active NPI

Brand D Robinson DDS, PC

  • General Practice Dentistry
  • Bozeman, MT
National Provider Identifier
1841414935
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1719 Issued in MT
Legal business name
BRAND D ROBINSON DDS, PC
Practice address
4265 Fallon St Ste 2
Bozeman, MT 59718-6797
Phone
(406) 587-7411
Fax
(406) 587-2357
NPI assigned
Apr 12, 2007
Last updated
Apr 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Brand D Robinson, DDSNPI 1073957734
Title
Owner President
Phone
(406) 587-7411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1719 MT Primary

Addresses

Primary practice location

4265 Fallon St Ste 2
Bozeman, MT 59718-6797

Mailing address

4265 Fallon St Ste 2
Bozeman, MT 59718-6797
Phone (406) 587-7411

Other identifiers 1

IdentifierTypeStateIssuer
130052MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1841414935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 FALLON ST STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186797",
            "telephone_number": "406-587-7411",
            "fax_number": "406-587-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 FALLON ST STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186797",
            "telephone_number": "406-587-7411",
            "fax_number": "406-587-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAND D ROBINSON DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BRAND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "406-587-7411",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130052",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.