Organization Active NPI

Glenn a Dobecki MD Inc

  • Dermatology Physician
  • South Weymouth, MA
National Provider Identifier
1114118098
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
30427 Issued in MA
Legal business name
GLENN A DOBECKI MD INC
Practice address
571 Main St
South Weymouth, MA 02190-1843
Phone
(781) 335-5781
Fax
(781) 331-3242
NPI assigned
Aug 6, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Mrs. Sandra Alice Dobecki
Title
Office Manager
Phone
(781) 335-5791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 30427 MA Primary

Addresses

Primary practice location

571 Main St
South Weymouth, MA 02190-1843

Mailing address

571 Main St
South Weymouth, MA 02190-1843
Phone (781) 335-5791

National Provider Directory

National Provider Directory

Locations

571 Main St
Ste 410
South Weymouth, MA 02190
Phone (617) 335-5791

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1114118098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 MAIN ST",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901843",
            "telephone_number": "781-335-5791",
            "fax_number": "781-331-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 MAIN ST",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901843",
            "telephone_number": "781-335-5781",
            "fax_number": "781-331-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN A DOBECKI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "DOBECKI",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-335-5791",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "30427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.