DR. KEVIN JON ROBERTSON DDS
NPI 1750491924
Dentist in North Royalton, OH

NPI Status: Active since August 30, 2006

Contact Information

10139 ROYALTON ROAD
SUITE E
NORTH ROYALTON, OH
ZIP 44133
Phone: (440) 230-2323
Fax: (440) 230-2229

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  • Individual
  • Male
  • Dentist
  • Accepts Insurance
  • PECOS Enrolled

About KEVIN ROBERTSON

This page provides the complete NPI Profile along with additional information for Kevin Robertson, a provider established in North Royalton, Ohio with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1750491924 assigned on August 2006. The practitioner's primary taxonomy code is 122300000X with license number 20867 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1750491924
Provider Name
DR. KEVIN JON ROBERTSON DDS
Gender
Male
Entity Type
Individual
Location Address
10139 ROYALTON ROAD SUITE E NORTH ROYALTON, OH 44133
Location Phone
(440) 230-2323
Location Fax
(440) 230-2229
Mailing Address
18771 E SHORELAND AVENUE ROCKY RIVER, OH 44116
Mailing Phone
(440) 331-9440
Is Sole Proprietor?
No
Enumeration Date
08-30-2006
Last Update Date
07-08-2007
Code Navigator

A dentist like Kevin Robertson is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
20867
License State
OH
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Delta Dental Individual Pediatric-Only PPO, EHB Certified - PPO
  • Delta Dental Individual PPO Bronze Plan, EHB Certified - PPO
  • Delta Dental Individual PPO Gold Plan, EHB Certified - PPO
  • Delta Dental Individual PPO Silver Plan, EHB Certified - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kevin Robertson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 44133 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.72
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.07
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $17.01
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. KEVIN JON ROBERTSON DDS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750491924
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710089294
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 9 + 2 + 9 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1750491924 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609984756DR. ANITA J ROBERTSON DDS
Individual
Dentist10139 ROYALTON ROAD SUITE E
NORTH ROYALTON, OH 44133
(440) 230-2323

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750491924, enumerated in the NPI registry as an "individual" on August 30, 2006

The provider is located at 10139 Royalton Road Suite E North Royalton, Oh 44133 and the phone number is (440) 230-2323

The provider's speciality is Dentist with taxonomy code 122300000X

The provider might be accepting Accepts: Delta Dental of Ohio. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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