Individual provider Active NPI

David Edward Dorsner, MD

  • Family Medicine Physician
  • Hilton Head Is, SC
National Provider Identifier
1184678435
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11624 Issued in SC
Practice address
19 Moss Creek Village Rd.
Suite D
Hilton Head Is, SC 29926
Phone
(843) 681-8260
Fax
(843) 342-6210
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11624 SC Primary

Addresses

Primary practice location

19 Moss Creek Village Rd.
Suite D
Hilton Head Is, SC 29926

Mailing address

PO Box 24083
Hilton Head, SC 29925-4083
Phone (843) 681-8260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090622000594 SC Practitioner - Family Practice 0840341483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11624SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Group Services Inc Family Medicine PastSince Feb 15, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1184678435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24083",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299254083",
            "telephone_number": "843-681-8260",
            "fax_number": "843-342-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MOSS CREEK VILLAGE RD.",
            "address_2": "SUITE D",
            "city": "HILTON HEAD IS",
            "state": "SC",
            "postal_code": "29926",
            "telephone_number": "843-681-8260",
            "fax_number": "843-342-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSNER",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "11624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Is, SC

Sources for this page

Verify at the official NPI Registry.