Individual provider Active NPI

Robert Denison Dingeman, MD

  • Orthopaedic Surgery Physician
  • Fairbanks, AK
National Provider Identifier
1114028602
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
AK2137 Issued in AK
Practice address
751 Old Richardson Hwy
Suite 101
Fairbanks, AK 99701-7813
Phone
(907) 452-2663
Fax
(907) 456-3033
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Orthopaedic Surgery Physician 207X00000X AK2137 AK Primary

Addresses

Primary practice location

751 Old Richardson Hwy
Suite 101
Fairbanks, AK 99701-7813

Mailing address

751 Old Richardson Hwy
Suite 101
Fairbanks, AK 99701-7813
Phone (907) 452-2663

Other identifiers 1

IdentifierTypeStateIssuer
MD9915MedicaidAK

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D. Dingeman, MD PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114028602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 OLD RICHARDSON HWY",
            "address_2": "SUITE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017813",
            "telephone_number": "907-452-2663",
            "fax_number": "907-456-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 OLD RICHARDSON HWY",
            "address_2": "SUITE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017813",
            "telephone_number": "907-452-2663",
            "fax_number": "907-456-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGEMAN",
        "first_name": "ROBERT",
        "middle_name": "DENISON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AK",
            "license": "AK2137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9915",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

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.