Individual provider Active NPI

Deb Joann Dorland, SLPA8819

  • Speech-Language Assistant
  • Buckeye, AZ
National Provider Identifier
1457756306
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
8819 Issued in AZ
Practice address
2700 S 257TH Dr
Buckeye, AZ 85326-1937
Phone
(623) 435-3282
Fax
(623) 386-3398
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 8819 AZ Primary

Addresses

Primary practice location

2700 S 257TH Dr
Buckeye, AZ 85326-1937

Mailing address

2700 S 257TH Dr
Buckeye, AZ 85326-1937
Phone (623) 435-3282

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

State licenses

LicenseStateTypeSpecialty
8819AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1457756306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S 257TH DR",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853261937",
            "telephone_number": "623-435-3282",
            "fax_number": "623-386-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S 257TH DR",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853261937",
            "telephone_number": "623-435-3282",
            "fax_number": "623-386-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORLAND",
        "first_name": "DEB",
        "middle_name": "JOANN",
        "credential": "SLPA8819",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "8819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.