Active NPI
Christian Adrian Robles, DMD
- Dentist
- Aurora, IL
National Provider Identifier
1962189043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001258-15
- Practice address
- 2853 E New York St
Aurora, IL 60502-9059 - Phone
- (630) 449-3079
- NPI assigned
- Jun 30, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 6001258-15 | WI | Primary |
Addresses
Primary practice location
2853 E New York St
Aurora, IL 60502-9059
Mailing address
29W300 Pomeroy St
West Chicago, IL 60185-3663
Phone (630) 559-5213
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 |
|---|---|---|---|
| 6001258-15 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1962189043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29W300 POMEROY ST",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601853663",
"telephone_number": "630-559-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2853 E NEW YORK ST",
"city": "AURORA",
"state": "IL",
"postal_code": "605029059",
"telephone_number": "630-449-3079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "CHRISTIAN",
"middle_name": "ADRIAN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-30",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6001258-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.