Individual provider Active NPI

Robert John Dorsett, L. AC., DIPLO. ACUP.

  • Acupuncturist
  • Alameda, CA
National Provider Identifier
1073634648
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3275 Issued in CA
Practice address
2245 Santa Clara Ave Ste 218
Alameda, CA 94501-4443
Phone
(510) 817-8771
Fax
(510) 814-8772
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC3275 CA Primary

Addresses

Primary practice location

2245 Santa Clara Ave Ste 218
Alameda, CA 94501-4443

Mailing address

2251 Clinton Ave Apt E
Alameda, CA 94501-4965
Phone (510) 522-5263

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
AC3275CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073634648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 CLINTON AVE APT E",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014965",
            "telephone_number": "510-522-5263",
            "fax_number": "510-522-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 SANTA CLARA AVE STE 218",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014443",
            "telephone_number": "510-817-8771",
            "fax_number": "510-814-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSETT",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "L. AC., DIPLO. ACUP.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.