Jonathan David Robinson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3973 Issued in AZ

Practice address

2010 E Cedar Ave
Flagstaff, AZ 86004-1621

Phone

(928) 774-3851

Fax

(928) 774-5376

NPI assigned

May 3, 2006

Sex

Male

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 AZ

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

Practice roles

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.

• Cedar Ave Family Dentistry LLC

  • Dental Clinic/Center
  • Flagstaff, AZ
  • NPI 1508684887
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982662300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E CEDAR AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041621",
            "telephone_number": "928-774-3851",
            "fax_number": "928-774-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E CEDAR AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041621",
            "telephone_number": "928-774-3851",
            "fax_number": "928-774-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Ray Roberts, COTA/L
• Jennifer Roberts
• Brittany Robertson, M.D.
• Jessica Lorraine Robertson, DMD
• Kirk James Robertson, DMD
• Carrie Roby, RN
• Jeffrey P Rockow, M.D.
• Sasha Yasmin Rodriguez
• George W. Rodway, PHD, APRN-NP
• Jerome John Rogich, MS, MD, DIMM

• General Practice Dentistry in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.