Individual provider Active NPI

Rebecca Lynn Robinson, D.D.S.

  • Dentist
  • Livermore, CA
National Provider Identifier
1871732974
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57782 Issued in CA
Practice address
2177 Las Positas CT
Livermore, CA 94551-8872
Phone
(925) 273-6016
NPI assigned
Feb 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9844 CO
Dentist 122300000X 57782 CA Primary

Addresses

Primary practice location

2177 Las Positas CT
Livermore, CA 94551-8872

Mailing address

2177 Las Positas CT
Livermore, CA 94551-8872
Phone (925) 273-6016

Other practice location 1

1400 Market St
Suite 8103
Redding, CA 96001-1052
Phone (530) 247-7253

Other practice location 2

1441 Liberty St
Redding, CA 96001-0811
Phone (530) 224-2700

Other identifiers 1

IdentifierTypeStateIssuer
65204735MedicaidCO

Other names 1

  • Dr. Rebecca Loewen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20111230000219 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0042486755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9844COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1871732974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 LAS POSITAS CT",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945518872",
            "telephone_number": "925-273-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 LAS POSITAS CT",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945518872",
            "telephone_number": "925-273-6016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Market St",
            "address_2": "Suite 8103",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960011052",
            "country_code": "US",
            "telephone_number": "530-247-7253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010811",
            "country_code": "US",
            "telephone_number": "530-224-2700",
            "fax_number": "530-224-2738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9844",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65204735",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LOEWEN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.