Individual provider Active NPI

Dallas W Dooley, APRN-C

  • Family Nurse Practitioner
  • Kinsley, KS
National Provider Identifier
1316384332
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76124 Issued in KS
Practice address
620 W 8TH St
Kinsley, KS 67547-2329
Phone
(620) 659-3621
NPI assigned
May 31, 2013
Last updated
May 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 76124 KS
Family Nurse Practitioner 363LF0000X 53-76124 KS Primary
Emergency Registered Nurse 163WE0003X 13103826021 KS

Addresses

Primary practice location

620 W 8TH St
Kinsley, KS 67547-2329

Mailing address

1100 Columbine Dr
Holton, KS 66436
Phone (785) 364-2116

Other practice location 1

1100 Columbine Dr
Holton, KS 66436
Phone (785) 364-2126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131108001101 KS Practitioner - Nurse Practitioner 4789819228 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rooks County Health CenterGroup PAC ID 8325959331, 40 clinicians

Practice addresses (Care Compare)

1110 Columbine Dr
Holton, KS 66436-8824
Phone (785) 364-2126

1210 N Washington St
Plainville, KS 67663-1632
Phone (785) 434-2622

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13103826021KSMDEmergency Registered Nurse
76124KSMDNurse Practitioner
53-76124KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rooks County Health Center CurrentSince Sep 1, 2017 Accepting new patients
Jefferson County Memorial Hospital, Inc Current Accepting new patients
Amberwell Atchison Association Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients
Rural Health Resources of Jackson Co Inc CurrentSince Aug 1, 2021 Accepting new patients
Amberwell Atchison Association CurrentSince Jun 1, 2024 Accepting new patients
Emergent Care Plus of Overland Park, LLC CurrentSince Mar 29, 2022 Accepting new patients
Rooks County Health Center CurrentSince Sep 1, 2017 Accepting new patients
Rural Health Resources of Jackson Co Inc Current Accepting new patients
Amberwell Atchison Association Current Accepting new patients
Hiawatha Hospital Association Inc Nurse Practitioner Past Accepting new patients

Locations

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

810 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-7300

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

1100 Columbine Dr
Holton, KS 66436
Phone (785) 364-2114

1110 Columbine Dr
Holton, KS 66436
Phone (785) 364-2126

3420 W 6th St
Lawrence, KS 66049
Phone (785) 841-3123

1100 N 4th St
Leavenworth, KS 66048
Phone (913) 297-9945

2770 S 9th St
Salina, KS 67401
Phone (785) 827-3551

311 W Locust St
Troy, KS 66087
Phone (785) 985-3504

408 Delaware St
Winchester, KS 66097
Phone (844) 536-9449

Interoperability endpoints

  • Direct secure messaging: dallas.dooley.1@11418.direct.athenahealth.com
  • Direct secure messaging: dallas.dooley.1@16424.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1316384332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 COLUMBINE DR",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "66436",
            "telephone_number": "785-364-2116",
            "fax_number": "785-364-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 8TH ST",
            "city": "KINSLEY",
            "state": "KS",
            "postal_code": "675472329",
            "telephone_number": "620-659-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Columbine Dr",
            "address_purpose": "LOCATION",
            "city": "Holton",
            "state": "KS",
            "postal_code": "66436",
            "country_code": "US",
            "telephone_number": "785-364-2126",
            "fax_number": "785-364-9620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "DALLAS",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "76124",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76124",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "KS",
            "license": "13103826021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinsley, KS

Sources for this page

Verify at the official NPI Registry.