Active NPI
William Vincent Dolan, MD
- Surgery Physician
- Phoenix, AZ
National Provider Identifier
1487681144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 11468
- Practice address
- 9027 N Cave Creek Rd
Phoenix, AZ 85020-2522 - Phone
- (602) 892-5065
- Fax
- (602) 532-7881
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 11468 | AZ | Primary |
Addresses
Primary practice location
9027 N Cave Creek Rd
Phoenix, AZ 85020-2522
Mailing address
9027 N Cave Creek Rd
Phoenix, AZ 85020-2522
Phone (602) 892-5065
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11468 | AZ | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1487681144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9027 N CAVE CREEK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202522",
"telephone_number": "602-892-5065",
"fax_number": "602-532-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9027 N CAVE CREEK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202522",
"telephone_number": "602-892-5065",
"fax_number": "602-532-7881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "WILLIAM",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "11468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.