Jeffery Dolberry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

005273 Issued in TN

Practice address

6747 E Shelby Dr
Memphis, TN 38141-7846

Phone

(901) 794-8211

Fax

(901) 794-7317

NPI assigned

Oct 12, 2006

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 TN

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

Specialty

Dentist

Education

University of Tennessee HSC College of Dentistry, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BJCIAD
• FHIR API: https://fhir4.healow.com/fhir/r4/IJJDAA

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.

• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1982686614
  Medicare reassignment NPD
• Gen Smiles

  • Dental Clinic/Center
  • Memphis, TN
  • NPI 1407670573
  NPD Authorized official
• Gen Smiles Inc.

  • General Practice Dentistry
  • Germantown, TN
  • NPI 1669274338
  NPD Authorized official
• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, TN
  • NPI 1871299297
  NPD
• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1053572206
  NPD (past)
• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1952562696
  NPD (past)
• Christ Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1609261510
  NPD (past)
• Christ Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1841513058
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346339645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6747 E SHELBY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381417846",
            "telephone_number": "901-794-8211",
            "fax_number": "901-794-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6747 E SHELBY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381417846",
            "telephone_number": "901-794-8211",
            "fax_number": "901-794-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLBERRY",
        "first_name": "JEFFERY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "005273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Dodson, PHD, LPC
• Lillie R. Dodson, MSSW, ACSW,LCSW
• Merri L Dodson
• Willie Lee Dodson Jr., PA
• Kisha Denise Doebler, PMHNP-BC
• Judy Dolce Lilavois, CRNA
• Dollar Investment Corp of Memphis
• Alyssa Reed Dollison
• Lauren Domasig, LMT
• Allison Rae Donahue

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.