Jocelyn Dore, AU.D.
Individual provider Active NPI Audiologist · Danbury, CT
NPI 1174523922 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1174523922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 000445 (CT)
- Practice address
- 107 Newtown Rd
Suite 2a
Danbury, CT 06810-4146 - Phone
- (203) 830-4700
- Fax
- (203) 730-4166
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081203000605 | CT | Practitioner - Qualified Audiologist | 9436210812 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Specialty Care, P.C. | Current |
Accepting new patients | |
| Advanced Audiology & Hearing Aid Services | Audiologist | Past |
Accepting new patients |
Locations
107 Newtown Rd
Ste 2A
Danbury, CT 06810
Phone (203) 830-4700
901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jocelyn.dor.p1@direct.asc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000445 | CT | Yes |
Addresses
Primary practice location
107 Newtown Rd
Suite 2a
Danbury, CT 06810-4146
Mailing address
107 Newtown Rd
Suite 2a
Danbury, CT 06810-4146
Phone (203) 830-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004251336 | Medicaid | CT |
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.