Organization Active NPI

David E. Dollens, MD,LLC

  • Internal Medicine Physician
  • Seymour, IN
National Provider Identifier
1437291218
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01027033A Issued in IN
Legal business name
DAVID E. DOLLENS, MD,LLC
Practice address
209 S Walnut St
Seymour, IN 47274-2311
Phone
(812) 522-2700
Fax
(812) 522-1057
NPI assigned
Feb 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Edwin Dollens, MDNPI 1033115977
Title
Owner
Phone
(812) 522-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01027033A IN Primary

Addresses

Primary practice location

209 S Walnut St
Seymour, IN 47274-2311

Mailing address

PO Box 968
Seymour, IN 47274-0968
Phone (812) 522-2700

Other identifiers 1

IdentifierTypeStateIssuer
000000101760OtherINANTHEM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437291218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472740968",
            "telephone_number": "812-522-2700",
            "fax_number": "812-522-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S WALNUT ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742311",
            "telephone_number": "812-522-2700",
            "fax_number": "812-522-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E. DOLLENS, MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOLLENS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-522-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01027033A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000101760",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.