Individual provider Active NPI

Jennifer Hirsch Doobrow, D.M.D.

  • General Practice Dentistry
  • Cullman, AL
National Provider Identifier
1295908648
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5578 Issued in AL
Practice address
212 4TH Ave SE
Suite 500
Cullman, AL 35055-3673
Phone
(256) 734-8588
Fax
(256) 739-6764
NPI assigned
Apr 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5578 AL Primary
General Practice Dentistry 1223G0001X 4311 SC

Addresses

Primary practice location

212 4TH Ave SE
Suite 500
Cullman, AL 35055-3673

Mailing address

212 4TH Ave SE
Suite 500
Cullman, AL 35055-3673
Phone (256) 734-8588

Other names 1

  • Miss Jennifer Helene Hirsch Former name

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
5578ALMDGeneral Practice Dentistry
4311SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Periodontal and Implant 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": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1295908648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 4TH AVE SE",
            "address_2": "SUITE 500",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553673",
            "telephone_number": "256-734-8588",
            "fax_number": "256-739-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 4TH AVE SE",
            "address_2": "SUITE 500",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553673",
            "telephone_number": "256-734-8588",
            "fax_number": "256-739-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOBROW",
        "first_name": "JENNIFER",
        "middle_name": "HIRSCH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5578",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HIRSCH",
            "middle_name": "HELENE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.