Individual provider Active NPI

Allison Bukoski Robeson, DDS

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1841499746
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411910 Issued in VA
Practice address
4315 Grove Ave
Richmond, VA 23221-1801
Phone
(804) 285-1378
Fax
(804) 285-1388
NPI assigned
Jul 12, 2007
Last updated
Jul 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401411910 VA Primary

Addresses

Primary practice location

4315 Grove Ave
Richmond, VA 23221-1801

Mailing address

4315 Grove Ave
Richmond, VA 23221-1801
Phone (804) 285-1378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160525000401 VA Order and Referring Only - DentistPractitioner - Dentist 9638468069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401411910VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Adams, Adams, and Epperly DDS PC Past Accepting new patients

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, 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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1841499746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232211801",
            "telephone_number": "804-285-1378",
            "fax_number": "804-285-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232211801",
            "telephone_number": "804-285-1378",
            "fax_number": "804-285-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBESON",
        "first_name": "ALLISON",
        "middle_name": "BUKOSKI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.