Laurie Boquet Dory, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J4779 Issued in TX

Practice address

901 Travis Ave
Fort Worth, TX 76104-3137

Phone

(817) 332-5585

Fax

(817) 332-5377

NPI assigned

Nov 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Laurie Boquet Dory, M.D.P.a.

  • Specialist
  • Fort Worth, TX
  • NPI 1326314881
  NPD (past) Authorized official

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1417930900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 TRAVIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043137",
            "telephone_number": "817-332-5585",
            "fax_number": "817-332-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 TRAVIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043137",
            "telephone_number": "817-332-5585",
            "fax_number": "817-332-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORY",
        "first_name": "LAURIE",
        "middle_name": "BOQUET",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J4779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE LINK NUMBER",
            "identifier": "3378225",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146028901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "0076EQ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7540001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keoshia Dorsey Cartlidge, FNP-BC
• Austin Bryan Dorsey, PHARMD
• Dorseyshouse
• Carla Dorton, PT
• Carissa Dorval, LAT ATC
• Bipin N Doshi, M.D.
• Ashli Doss, RD, LD
• Semoria Doss, LVN
• Avafia Dossa, M.D.
• Aderonke Dosumu, PA

• Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.