Active NPI
Deborah Dommer
- Specialist
- Kenmore, NY
National Provider Identifier
1124175468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 008497-1
- Practice address
- 2565 Elmwood Ave
Kenmore, NY 14217-1939 - Phone
- (716) 871-9883
- Fax
- (716) 871-9887
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 008497-1 | NY | Primary |
Addresses
Primary practice location
2565 Elmwood Ave
Kenmore, NY 14217-1939
Mailing address
3631 Baker Rd
Orchard Park, NY 14127-2020
Phone (716) 871-9883
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008497-1 | NY | MD | Occupational Therapist |
| 008497 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124175468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3631 BAKER RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272020",
"telephone_number": "716-871-9883",
"fax_number": "716-871-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2565 ELMWOOD AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171939",
"telephone_number": "716-871-9883",
"fax_number": "716-871-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMMER",
"first_name": "DEBORAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "008497-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenmore, NY
- Diversified Services for Occupational Therapy, Physical Ther
- Diversified Services for Occupational Therapy, Physical Therapy, Speec
- John A Dobos, DDS
- Lindsay Dobos, M.S. ED CCC/SLP
- Nathan Dolan, DPT
- Ryan Donahue, DPT
- Donald P. Copley MD PC
- Danielle Marie Donlan
- Paul Dorazio, MD
- Amanda Dorchak, OTR/L
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.