Individual provider Active NPI

Jon N Robinson, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grants Pass, OR
National Provider Identifier
1922007855
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D6895 Issued in OR
Practice address
124 NE Evelyn Ave Ste a-1
Grants Pass, OR 97526-1427
Phone
(541) 479-9701
Fax
(541) 479-1613
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D6895 OR Primary

Addresses

Primary practice location

124 NE Evelyn Ave Ste a-1
Grants Pass, OR 97526-1427

Mailing address

124 NE Evelyn Ave Ste a-1
Grants Pass, OR 97526-1427
Phone (541) 479-9701

Other identifiers 1

IdentifierTypeStateIssuer
1673755OtherORUNITED CONCORDIA TDP

Other names 1

  • Dr. Jon N Robinson Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D6895ORMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1922007855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NE EVELYN AVE STE A-1",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261427",
            "telephone_number": "541-479-9701",
            "fax_number": "541-479-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NE EVELYN AVE STE A-1",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261427",
            "telephone_number": "541-479-9701",
            "fax_number": "541-479-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JON",
        "middle_name": "N",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D6895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA TDP",
            "identifier": "1673755",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JON",
            "last_name": "ROBINSON",
            "middle_name": "N",
            "prefix": "DR.",
            "credential": "DMD, MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.