Active NPI
Gerald Richard Dorsey, DDS
- General Practice Dentistry
- Alice, TX
National Provider Identifier
1215021878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15904
- Practice address
- 80 N Woodlawn
Alice, TX 78332 - Phone
- (361) 664-3057
- Fax
- (361) 664-4556
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15904 | TX | Primary |
Addresses
Primary practice location
80 N Woodlawn
Alice, TX 78332
Mailing address
80 N Woodlawn
Alice, TX 78332
Phone (361) 664-3057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150701001247 | TX | Order and Referring Only - Dentist | 8022320274 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15904 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215021878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 N WOODLAWN",
"city": "ALICE",
"state": "TX",
"postal_code": "78332",
"telephone_number": "361-664-3057",
"fax_number": "361-664-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 N WOODLAWN",
"city": "ALICE",
"state": "TX",
"postal_code": "78332",
"telephone_number": "361-664-3057",
"fax_number": "361-664-4556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "GERALD",
"middle_name": "RICHARD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "15904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alice, TX
- Kristin Leni Dillon, NP-C
- Jaroslav Dolezal, D.D.S.
- Dominican Sisters of Saint Thomas Aquinas (Hosanna Adult Day Care)
- Donald L. Mulder, P.a.
- James W Dorsett, LCDC
- Dr. Roel Garza and Associates Family Dentistry
- Mary Lisa Duarte, APRN, PMHNP-BC
- Nicholas Dunman, PHARMD
- Pamala J Edwards, PA
- Nabil El Milady, MD
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.