Active NPI
Jeu B Dott Jr., MD
- Anesthesiology Physician
- College Station, TX
National Provider Identifier
1376512004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- F6583
- Practice address
- 8700 Redwood St
College Station, TX 77845-5579 - Phone
- (979) 693-7167
- Fax
- (979) 696-7111
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | F6583 | TX | Primary |
Addresses
Primary practice location
8700 Redwood St
College Station, TX 77845-5579
Mailing address
8700 Redwood St
College Station, TX 77845-5579
Phone (979) 693-7167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103799603 | Medicaid | TX |
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 |
|---|---|---|---|
| F6583 | TX | MD | Anesthesiology Physician |
Interoperability endpoints
- jdott047@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445126400000",
"number": "1376512004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 REDWOOD ST",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778455579",
"telephone_number": "979-693-7167",
"fax_number": "979-696-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 REDWOOD ST",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778455579",
"telephone_number": "979-693-7167",
"fax_number": "979-696-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTT",
"first_name": "JEU",
"middle_name": "B",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2015-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "F6583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103799603",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.