Active NPI
Jeffrey D Dorsett, MD
- Family Medicine Physician
- Osawatomie, KS
National Provider Identifier
1366495970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0422622
- Practice address
- 100 East Main St
Osawatomie, KS 66064-1126 - Phone
- (913) 755-3044
- Fax
- (913) 755-2149
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0422622 | KS | Primary |
Addresses
Primary practice location
100 East Main St
Osawatomie, KS 66064-1126
Mailing address
100 East Main St
Osawatomie, KS 66064-1126
Phone (913) 755-3044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100145220A | Medicaid | KS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0422622 | KS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1366495970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EAST MAIN ST",
"city": "OSAWATOMIE",
"state": "KS",
"postal_code": "660641126",
"telephone_number": "913-755-3044",
"fax_number": "913-755-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EAST MAIN ST",
"city": "OSAWATOMIE",
"state": "KS",
"postal_code": "660641126",
"telephone_number": "913-755-3044",
"fax_number": "913-755-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSETT",
"first_name": "JEFFREY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0422622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100145220A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Osawatomie, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.