DR. MICHEAL LINK ROBINSON MD, DMD
Complete NPI Record 1063509743
Dentist - Oral and Maxillofacial Surgery in Edgewood, KY

NPI Status: Active since October 06, 2006

Contact Information

20 MEDICAL VILLAGE DR
SUITE 196
EDGEWOOD, KY
ZIP 41017
Phone: (859) 331-2100
Fax: (859) 344-4841

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Complete NPI Dataset

This page represents the complete record for NPI 1063509743. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1063509743
The country code in the location address of the provider being identified.
Entity Type Code: 1
The telephone number associated with the location address of the provider being identified.
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: MICHEAL
The first name of the provider, if the provider is an individual.
Provider Middle Name: LINK
The middle name of the provider, if the provider is an individual.
Provider Name Prefix Text: DR.
The first name of the provider, if the provider is an individual.
Provider Credential Text: MD, DMD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address: 20 MEDICAL VILLAGE DR
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Second Line Business Mailing Address: SUITE 196
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Mailing Address City Name: EDGEWOOD
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: KY
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Postal Code: 410175401
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 8593312100
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 8593444841
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 20 MEDICAL VILLAGE DR
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider Second Line Business Practice Location Address: SUITE 196
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: EDGEWOOD
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address State Name: KY
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 410175401
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8593312100
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 8593444841
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 10/6/2006
The fax number associated with the location address of the provider being identified.
Last Update Date: 7/8/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Gender Code: M
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 1223S0112X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 5953
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: KY
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: Y
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No