Active NPI
Kimberly Robinson
- Dentist
- Casselberry, FL
National Provider Identifier
1952741597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN13903
- Practice address
- 5761 S US Highway 17/92
Suites 1001 & 1005
Casselberry, FL 32707-3819 - Phone
- (407) 670-0557
- NPI assigned
- Jun 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN13903 | FL | Primary |
Addresses
Primary practice location
5761 S US Highway 17/92
Suites 1001 & 1005
Casselberry, FL 32707-3819
Mailing address
4631 Shorecrest Dr
Orlando, FL 32817-1240
Phone (407) 488-7236
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN13903 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1952741597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4631 SHORECREST DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171240",
"telephone_number": "407-488-7236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5761 S US HIGHWAY 17/92",
"address_2": "SUITES 1001 & 1005",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327073819",
"telephone_number": "407-670-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-27",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN13903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.