Active NPI
Lois Dorman, CMA
- Surgical Technologist
- Garland, TX
National Provider Identifier
1275724908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 0036877
- Practice address
- 777 Walter Reed Blvd
Suite 303
Garland, TX 75042 - Phone
- (972) 272-0282
- Fax
- (972) 276-6492
- NPI assigned
- Aug 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 0036877 | TX | Primary |
Addresses
Primary practice location
777 Walter Reed Blvd
Suite 303
Garland, TX 75042
Mailing address
777 Walter Reed Blvd
Suite 303
Garland, TX 75042
Phone (972) 272-0282
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
- Credentials
- Certified Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0036877 | TX | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1275724908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 WALTER REED BLVD",
"address_2": "SUITE 303",
"city": "GARLAND",
"state": "TX",
"postal_code": "75042",
"telephone_number": "972-272-0282",
"fax_number": "972-276-6492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 WALTER REED BLVD",
"address_2": "SUITE 303",
"city": "GARLAND",
"state": "TX",
"postal_code": "75042",
"telephone_number": "972-272-0282",
"fax_number": "972-276-6492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMAN",
"first_name": "LOIS",
"name_prefix": "Mrs.",
"credential": "CMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "TX",
"license": "0036877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.