Active NPI
Doloris Bernadette Davis-Chateau, MSED
- Specialist
- Brooklyn, NY
National Provider Identifier
1154683340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 871045
- Practice address
- 111 Livingston St
Suite 101
Brooklyn, NY 11201-5078 - Phone
- (718) 625-4055
- NPI assigned
- Jun 13, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 871045 | NY | Primary |
Addresses
Primary practice location
111 Livingston St
Suite 101
Brooklyn, NY 11201-5078
Mailing address
130 E 18TH St
Apt 5I
Brooklyn, NY 11226-4306
Phone (718) 791-2432
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
| License | State | Type | Specialty |
|---|---|---|---|
| 871045 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1154683340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 E 18TH ST",
"address_2": "APT 5I",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112264306",
"telephone_number": "718-791-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LIVINGSTON ST",
"address_2": "SUITE 101",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015078",
"telephone_number": "718-625-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS-CHATEAU",
"first_name": "DOLORIS",
"middle_name": "BERNADETTE",
"name_prefix": "Ms.",
"credential": "MSED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "871045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.