Individual provider Active NPI

Dorothy Jeanne Horns, MD

  • Ophthalmology Physician
  • Edina, MN
National Provider Identifier
1114901543
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26402 Issued in MN
Practice address
6533 Drew Ave S
Edina, MN 55435-2103
Phone
(952) 927-7138
Fax
(952) 924-4021
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 26402 MN Primary

Addresses

Primary practice location

6533 Drew Ave S
Edina, MN 55435-2103

Mailing address

6533 Drew Ave S
Edina, MN 55435-2103
Phone (952) 927-7138

Other identifiers 1

IdentifierTypeStateIssuer
546007700MedicaidMN

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

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1114901543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 DREW AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352103",
            "telephone_number": "952-927-7138",
            "fax_number": "952-924-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 DREW AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352103",
            "telephone_number": "952-927-7138",
            "fax_number": "952-924-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNS",
        "first_name": "DOROTHY",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "26402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546007700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.