Individual provider Active NPI

Robert Dubanski, D.M.D.

  • Dentist
  • Rocklin, CA
National Provider Identifier
1962790337
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35251 Issued in CA
Practice address
4750 Rocklin Rd Ste 100
Rocklin, CA 95677-4308
Phone
(916) 315-3558
NPI assigned
Jul 19, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
35251CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee and Dubanski Dental Corporation Past Accepting new patients
Amin S. DDS Corporation PastSince Aug 28, 2022 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35251 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

4750 Rocklin Rd Ste 100
Rocklin, CA 95677-4308

Mailing address

4750 Rocklin Rd Ste 100
Rocklin, CA 95677-4308

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2011.

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1962790337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 ROCKLIN RD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 ROCKLIN RD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774308",
            "telephone_number": "916-315-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBANSKI",
        "first_name": "ROBERT",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.