RR Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

21726 Issued in TX

Legal business name

RR DENTAL PLLC

Practice address

3006 Dawn Dr
Georgetown, TX 78628-2879

Phone

(512) 869-5997

Fax

(512) 869-2036

NPI assigned

Apr 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Payne Roberson, DDS

Title

President

Phone

(512) 869-5997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1891051546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 DAWN DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282879",
            "telephone_number": "512-869-5997",
            "fax_number": "512-869-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 DAWN DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282879",
            "telephone_number": "512-869-5997",
            "fax_number": "512-869-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RR DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-869-5997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Rourke
• Erin Roush, RBT
• Jay Paul Roy, LPC
• Roxane A Royalty, LPC
• James Michael Royster
• Becky Suzzanne Rubin, CRNA
• Michael Jonah Rubin, CRNA
• Norman Zachary Rubin, APRN, PMHNP-BC
• Monica Ruiz
• Gia Giambelluca Ruppert, RN, CPW

• Dentist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.