Individual provider Active NPI

Rodney Dixon Dorand, M.D.

  • Pediatrics Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1215201595
Registry record updated Mar 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME56208 Issued in FL
Practice address
530 Blue Mountain Rd
Santa Rosa Beach, FL 32459-5122
Phone
(334) 399-9553
Fax
(850) 267-0359
NPI assigned
Mar 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME56208 FL Primary

Addresses

Primary practice location

530 Blue Mountain Rd
Santa Rosa Beach, FL 32459-5122

Mailing address

530 Blue Mountain Rd
Santa Rosa Beach, FL 32459-5122
Phone (334) 399-9553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150715002296 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5799098000

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1330732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330732800000",
    "number": "1215201595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BLUE MOUNTAIN RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595122",
            "telephone_number": "334-399-9553",
            "fax_number": "850-267-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BLUE MOUNTAIN RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595122",
            "telephone_number": "334-399-9553",
            "fax_number": "850-267-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAND",
        "first_name": "RODNEY",
        "middle_name": "DIXON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-03",
        "last_updated": "2012-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME56208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.