Cason J Roberson, DMD, MS

Primary specialty

DentistTaxonomy code 122300000X

License

9544 Issued in TN

Practice address

205 S Jackson St
Tullahoma, TN 37388-4426

Phone

(931) 455-0146

Fax

(931) 393-3863

NPI assigned

Aug 28, 2012

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• DRS. Smith & Fewell, D.D.S.,M.S.,PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tullahoma, TN
  • NPI 1427047430
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1992053649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884426",
            "telephone_number": "931-455-0146",
            "fax_number": "931-393-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884426",
            "telephone_number": "931-455-0146",
            "fax_number": "931-393-3863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2d DENBN/NDC, 315 McHugh Blvd, PSC 20130",
            "address_2": "Commanding Officer",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "285400130",
            "country_code": "US",
            "telephone_number": "910-451-2208 x203",
            "fax_number": "910-451-8036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "CASON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammi McLemore Ricketts, M.A
• Elizabeth Riddle, CRNP
• Lauren Pearson Ridgeway, D.C.
• Tammy Lynn Ridley, FNP-BC
• Rinova the Wellness Group, PC
• William Edward Roberts
• Jeanne S Robinson, MS, LPC,MHSP
• Byron K Robison, MD
• Rocky Mountain Holdings, LLC
• Michelle Roller

• Dentist in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.