Individual provider Active NPI

Donald A Dobrowolski, D.M.D

  • General Practice Dentistry
  • Brick, NJ
National Provider Identifier
1184764664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13038 Issued in NJ
Practice address
445 Brick Blvd
Suite #108
Brick, NJ 08723-6048
Phone
(732) 477-8686
Fax
(732) 477-6398
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13038 NJ Primary

Addresses

Primary practice location

445 Brick Blvd
Suite #108
Brick, NJ 08723-6048

Mailing address

107 B St
Brick, NJ 08723-7256
Phone (732) 255-7049

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

LicenseStateTypeSpecialty
13038NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
D & R Dental Associates, Inc. Past 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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184764664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 B ST",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237256",
            "telephone_number": "732-255-7049",
            "fax_number": "732-255-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BRICK BLVD",
            "address_2": "SUITE #108",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236048",
            "telephone_number": "732-477-8686",
            "fax_number": "732-477-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBROWOLSKI",
        "first_name": "DONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "13038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

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.

Verify at the official NPI Registry.