Organization Active NPI

Thomas E Dobbins MD Professional LLC

  • Internal Medicine Physician
  • Deridder, LA
National Provider Identifier
1417352964
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
022239 Issued in LA
Legal business name
THOMAS E DOBBINS MD PROFESSIONAL LLC
Practice address
325 W 8TH St
Deridder, LA 70634-5505
Phone
(337) 463-3387
Fax
(949) 862-5301
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Thomas E Dobbins, MD
Title
Owner
Phone
(337) 463-3387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 022239 LA Primary

Addresses

Primary practice location

325 W 8TH St
Deridder, LA 70634-5505

Mailing address

325 W 8TH St
Deridder, LA 70634-5505
Phone (337) 463-3387

Other identifiers 1

IdentifierTypeStateIssuer
1483893MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1417352964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W 8TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706345505",
            "telephone_number": "337-463-3387",
            "fax_number": "949-862-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W 8TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706345505",
            "telephone_number": "337-463-3387",
            "fax_number": "949-862-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E DOBBINS MD PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-463-3387",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "022239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483893",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.