Individual provider Active NPI

Steven Andrew Robinson, D.D.S.

  • Pediatric Dentistry
  • Murfreesboro, TN
National Provider Identifier
1972039220
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11166 Issued in TN
Practice address
614 E Clark Blvd
Murfreesboro, TN 37130-2121
Phone
(615) 890-0885
Fax
(615) 890-8818
NPI assigned
May 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11166 TN Primary

Addresses

Primary practice location

614 E Clark Blvd
Murfreesboro, TN 37130-2121

Mailing address

614 E Clark Blvd
Murfreesboro, TN 37130-2121
Phone (615) 890-0885

Other practice location 1

79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 833-2895

Other practice location 2

79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 833-2895

Other practice location 3

2007 E Nettleton Ave Ste C
Jonesboro, AR 72401
Phone (870) 897-2439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20170718002568 MI Order and Referring Only - DentistPractitioner - Dentist 8224308655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11166TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Dental Clinic of Jonesboro Pediatric Dentistry PastSince Aug 1, 2019 Accepting new patients
McKee, Curry, Stanley, Pediatric Dentistry Partnership Pediatric Dentistry PastSince May 16, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1972039220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E CLARK BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302121",
            "telephone_number": "615-890-0885",
            "fax_number": "615-890-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E CLARK BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302121",
            "telephone_number": "615-890-0885",
            "fax_number": "615-890-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 W Alexandrine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012015",
            "country_code": "US",
            "telephone_number": "313-833-2895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 W Alexandrine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012015",
            "country_code": "US",
            "telephone_number": "313-833-2895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2007 E Nettleton Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "72401",
            "country_code": "US",
            "telephone_number": "870-897-2439",
            "fax_number": "870-912-1914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "STEVEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "11166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.