DR. DELOIS ROBERSON (NPI# 1174852164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174852164 |
| Entity Type | Individual |
| Full Name | DR. DELOIS ROBERSON |
| Credential | DDS |
| Practice Address |
2781 Airways Blvd Memphis TN 38132-1104 |
| Practice Telephone | 9015275359 |
| Practice Fax Number | 9015279909 |
| Mailing Telephone | 9015275359 |
| Mailing Fax Number | 9015279909 |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS05258 | TN | Dental Providers |
| Street Address |
2781 AIRWAYS BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38132-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380985 | Javier Jackson | Physical Therapist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2018-06-21 |
| 1326499252 | Joshua Mock | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2016-06-22 |
| 1295112720 | Michelle Frulla | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386163707 | Casey Provo | Dietitian, Registered | 1689 Nonconnah Blvd., Memphis, TN 38132 | 2017-09-18 |
| 1164802195 | Cynthia Luaune Poole | Social Worker | 2606 Corporate Dr, Memphis, TN 38132 | 2015-06-04 |
| 1033375753 | Concentra Health Services, Inc. | Clinic/Center | 2831 Airways Blvd., Bldg. A, Suite 102, Memphis, TN 38132 | 2008-08-01 |
| 1063406676 | The Synergy Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2305 Airport Interchange Avenue, Memphis, TN 38132 | 2005-09-09 |
| 1932488129 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2831 Airways Blvd, Bldg A, Ste 102, Memphis, TN 38132 | 2011-08-05 |
| 1699181461 | Stacy Triplett | Counselor | 2305 Airport Interchange Ave, Memphis, TN 38132-1002 | 2014-07-01 |
| 1528257425 | American Current Care, P.a. | Clinic/Center | 2831 Airways Boulevard, Building A, Suite 102, Memphis, TN 38132-1106 | 2007-10-17 |
| 1568540805 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2831 Airways Blvd, Bldg. A, Suite 102, Memphis, TN 38132-1106 | 2006-11-02 |
| 1427508779 | Tandrea Standback | Physical Therapy Assistant | 2831 Airways Blvd, Suite 102, Memphis, TN 38132-1106 | 2016-10-11 |
| 1760628424 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2831 Airways Blvd., Building A, Suite #102, Memphis, TN 38132-1106 | 2008-12-31 |
| Find all providers in zip 38132 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361596 | Crosstown Dental Group Highland Row LLC | Dentist | 431 S Highland St Ste 115, Memphis, TN 38111-1633 | 2020-09-23 |
| 1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
| 1780200279 | Taylor Rae Vracar | Dentist | 875 Union Ave Ste 301, Memphis, TN 38103-3513 | 2020-06-19 |
| 1063982957 | Jasmine Copelanddds | Dentist | 1251 Wesley Dr Ste 130, Memphis, TN 38116-6443 | 2018-12-04 |
| 1770075681 | Bellano East Memphis, Pllc | Dentist | 5336 Estate Office Dr Ste 1, Memphis, TN 38119-3623 | 2018-06-06 |
| 1992200364 | Lauren Alyssia Henderson | Dentist | 5180 Park Ave Ste 210, Memphis, TN 38119-3530 | 2018-03-28 |
| 1598123986 | James F Proctor Dds Pa | Dentist | 1655 International Drive, Suite 203, Memphis, TN 38120-1436 | 2016-02-01 |
| 1497140008 | Tennessee Dental Professionals PC | Dentist | 6425 N Quail Hollow Rd Ste 102, Memphis, TN 38120-1438 | 2015-03-31 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1457793929 | Acadia Helath LLC | Dentist | 1000 Ridgeway Loop Rd, Suite 203, Memphis, TN 38120-4045 | 2013-07-24 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.