Concepcion R. Robledo, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 16834 Issued in FL

Practice address

120 King St # 78
Jacksonville, FL 32204-2410

Phone

(904) 253-1680

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1932134392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 WINDWARD WAY W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567156",
            "telephone_number": "904-891-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KING ST # 78",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322042410",
            "telephone_number": "904-253-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7640 Windward Way W",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322567156",
            "country_code": "US",
            "telephone_number": "904-891-5757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3225 University Blvd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322162762",
            "country_code": "US",
            "telephone_number": "904-253-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3416 Moncrief Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322094340",
            "country_code": "US",
            "telephone_number": "904-253-1783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W 6th St # 77",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322064324",
            "country_code": "US",
            "telephone_number": "904-253-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBLEDO",
        "first_name": "CONCEPCION",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 16834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tierre Robinson
• Tracey D. Robinson, RPH
• Anna-Leigh Powell Robison, PSYD
• Dawn Marie Robison, NURSE PRACTITIONER
• William T Robison, M.D.
• Hector Ahmed Robles-Gonzalez, M.D.
• Aaron P Robles Sr., MPT, CFMT
• Danica Amber Robles
• Erlin Arianna Robles
• Andrea Robotka Taudte

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.