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Deactivated NPI 1003078189 Deactivated / Inactive NPI Male Practitioner

Dr. Robert L. Shipp , DDS

Dentist - General Practice • Benbrook, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Shipp has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 30, 2008
NPI Deactivation Date April 06, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Shipp, DDS was a registered Dentist - General Practice practicing in Benbrook, TX. Throughout an active medical career spanning 9 years, Dr. Shipp provided care at the practice location at 6320 SOUTHWEST BLVD until profile deactivation on 2017-04-06.

Practice Location & Contact Primary Location

Practice Address

6320 Southwest Blvd
Suite 112

Benbrook, TX 761096965

Telephone 8177312821
Fax 8177312822

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Benbrook, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Benbrook, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 7982

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
James Charbonnet , LCSW

Social Worker - Clinical

NPI 1245787985

Licensed Clinical Social Worker

Dr. Loanne Chiu , PhD

Psychologist - Clinical

NPI 1598855801

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 06, 2017

Record deactivated on April 06, 2017

NPI Profile Active June 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2008

Registered at 6320 SOUTHWEST BLVD, SUITE 112, BENBROOK, TX 761096965 (Tel: 8177312821)

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Updated Business Mailing Address June 30, 2008

Registered at 6320 SOUTHWEST BLVD, SUITE 112, BENBROOK, TX 761096965 (Tel: 8177312821)

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Provider Name / Credentials Updated June 30, 2008

Recorded as ROBERT SHIPP, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2008

Dentist (License #7982 in TX)

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Initial NPI Registration & Enumeration June 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003078189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2008
Last Update: June 30, 2008
Deactivation Date: April 06, 2017

Mailing Address

6320 Southwest Blvd, Suite 112

Benbrook, TX 761096965

Phone: 8177312821

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.