Active NPI
Shirley Dalette Dornback, AUD
- Audiologist
- Carrollton, TX
National Provider Identifier
1427554286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51097
- Practice address
- 2116 Sonata LN
Carrollton, TX 75007-2239 - Phone
- (469) 877-8727
- NPI assigned
- Apr 2, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51097 | TX | Primary |
Addresses
Primary practice location
2116 Sonata LN
Carrollton, TX 75007-2239
Mailing address
2116 Sonata LN
Carrollton, TX 75007-2239
Phone (469) 877-8727
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51097 | TX | MD | Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1427554286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 SONATA LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750072239",
"telephone_number": "469-877-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 SONATA LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750072239",
"telephone_number": "469-877-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORNBACK",
"first_name": "SHIRLEY",
"middle_name": "DALETTE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-02",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.