Daniel Cornell Dozier, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31776 Issued in CA

Practice address

2509 W March LN Ste 100
Stockton, CA 95207-8222

Phone

(209) 957-9000

NPI assigned

Feb 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1336283472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 W MARCH LN STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078222",
            "telephone_number": "209-957-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 W MARCH LN STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078222",
            "telephone_number": "209-957-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOZIER",
        "first_name": "DANIEL",
        "middle_name": "CORNELL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Renee Douglass, MSW
• Victoria Dowd
• Tanner Austin Dowell
• David Alan Doyle
• Lindsey T Doyle
• Dr Anosh Dental Corporation
• Dr Guido Abellera MD
• Dr Thaker MD, a Professional Corporation
• Dr. Jacqueline Smith-Ratliff, LMFT
• Dr. Joseph P. Viviano DDS Inc.

• General Practice Dentistry in Stockton, CA
• Providers in Stockton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.

Verify at the official NPI Registry.