Individual provider Active NPI

Robert Robbins

  • Veterinarian
  • Plano, IL
National Provider Identifier
1992190441
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
090007361 Issued in IL
Practice address
4287 Eldamain Rd
Plano, IL 60545-9711
Phone
(630) 552-7804
Fax
(630) 552-3461
NPI assigned
Apr 1, 2015
Last updated
Apr 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 090007361 IL Primary
Veterinarian 174M00000X 4110 WI

Addresses

Primary practice location

4287 Eldamain Rd
Plano, IL 60545-9711

Mailing address

4287 Eldamain Rd
Plano, IL 60545-9711
Phone (630) 552-7804

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
090007361ILMDVeterinarian
4110WIMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1992190441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4287 ELDAMAIN RD",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "605459711",
            "telephone_number": "630-552-7804",
            "fax_number": "630-552-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4287 ELDAMAIN RD",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "605459711",
            "telephone_number": "630-552-7804",
            "fax_number": "630-552-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "IL",
            "license": "090007361",
            "primary": true
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WI",
            "license": "4110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.