Active NPI
Paul Dormont, M.D.
- Psychiatry Physician
- Narberth, PA
National Provider Identifier
1023228756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD10129E
- Practice address
- 505 Rock Avon Road
Narberth, PA 19072 - Phone
- (610) 667-0114
- NPI assigned
- May 23, 2007
- Last updated
- Oct 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD10129E | PA | Primary |
Addresses
Primary practice location
505 Rock Avon Road
Narberth, PA 19072
Mailing address
505 Rock Avon Road
Narberth, PA 19072
Phone (610) 667-0114
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10129E | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414281600000",
"number": "1023228756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ROCK AVON ROAD",
"city": "NARBERTH",
"state": "PA",
"postal_code": "19072",
"telephone_number": "610-667-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 ROCK AVON ROAD",
"city": "NARBERTH",
"state": "PA",
"postal_code": "19072",
"telephone_number": "610-667-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMONT",
"first_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2014-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD10129E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.