Individual provider Active NPI

Lovie Dava Dobberstein, D.D.S.

  • Dentist
  • Columbia, TN
National Provider Identifier
1396159984
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9859 Issued in TN
Practice address
706 Lion Pkwy
Columbia, TN 38401-4721
Phone
(931) 388-3384
NPI assigned
Jun 11, 2014
Last updated
Jan 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9859 TN Primary

Addresses

Primary practice location

706 Lion Pkwy
Columbia, TN 38401-4721

Mailing address

706 Lion Pkwy
Columbia, TN 38401-4721
Phone (931) 388-3384

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Family Dental Center PC Past Accepting new patients
Dobberstein Dentistry, P.L.L.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1396159984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 LION PKWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014721",
            "telephone_number": "931-388-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 LION PKWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014721",
            "telephone_number": "931-388-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBERSTEIN",
        "first_name": "LOVIE",
        "middle_name": "DAVA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.