Individual provider Active NPI

Michael L Dobyns, D.M.D.

  • Endodontics
  • The Woodlands, TX
National Provider Identifier
1477566107
Registry record updated Oct 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
19898 Issued in TX
Practice address
1011 Medical Plaza Dr
Suite 210
The Woodlands, TX 77380-3249
Phone
(281) 893-1060
Fax
(281) 893-6807
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 19898 TX Primary

Addresses

Primary practice location

1011 Medical Plaza Dr
Suite 210
The Woodlands, TX 77380-3249

Mailing address

1011 Medical Plaza Dr
Suite 210
The Woodlands, TX 77380-3249
Phone (281) 893-1060

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
19898TXMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193529600000",
    "number": "1477566107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR",
            "address_2": "SUITE 210",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803249",
            "telephone_number": "281-893-1060",
            "fax_number": "281-893-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR",
            "address_2": "SUITE 210",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803249",
            "telephone_number": "281-893-1060",
            "fax_number": "281-893-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBYNS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "19898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2007; 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.