David K. Dorman, MD SC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

16979-020 Issued in WI

Legal business name

DAVID K. DORMAN, MD SC

Practice address

19475 W North Ave
Suite 302
Brookfield, WI 53045-4199

Phone

(262) 782-4144

Fax

(262) 782-5854

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David K Dorman, M.D.

Title

President

Phone

(262) 782-4144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356425722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19475 W NORTH AVE",
            "address_2": "SUITE 302",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454199",
            "telephone_number": "262-782-4144",
            "fax_number": "262-782-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19475 W NORTH AVE",
            "address_2": "SUITE 302",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454199",
            "telephone_number": "262-782-4144",
            "fax_number": "262-782-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K. DORMAN, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-782-4144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "WI",
            "license": "16979-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica R Danko-Meyer, OT
• Denise Renee Darling, COTA
• Krishna Dasgupta, MD
• Katherine Daujotas, LCSW
• Jeffry Raymond Dauk, D.C.
• Taylor Perry Davine, PHD
• Cara Davis, SLP
• Kassandra Davis, HIS
• Maxwell Davis, MD
• DBT Consultants LLC

• Plastic Surgery Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Plastic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.