Individual provider Active NPI

Dolkar Dolkar

  • Registered Nurse
  • Bloomington, MN
National Provider Identifier
1003294026
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2101910 Issued in MN
Practice address
11501 Masonic Home Dr
Bloomington, MN 55437-3661
Phone
(612) 516-7534
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2101910 MN Primary

Addresses

Primary practice location

11501 Masonic Home Dr
Bloomington, MN 55437-3661

Mailing address

10417 Ewing Rd S
Bloomington, MN 55431-3250
Phone (612) 516-7534

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
2101910MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1003294026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10417 EWING RD S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313250",
            "telephone_number": "612-516-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 MASONIC HOME DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373661",
            "telephone_number": "612-516-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLKAR",
        "first_name": "DOLKAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2101910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.