Individual provider Active NPI

Dorian Doss, MS, RDN, LD, CPT

  • Registered Dietitian
  • Florissant, MO
National Provider Identifier
1538599279
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2005038119 Issued in MO
Practice address
30 Jost Villa Dr
Florissant, MO 63034-2270
Phone
(314) 452-3273
NPI assigned
Nov 15, 2013
Last updated
Nov 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2005038119 MO Primary

Addresses

Primary practice location

30 Jost Villa Dr
Florissant, MO 63034-2270

Mailing address

30 Jost Villa Dr
Florissant, MO 63034-2270
Phone (314) 452-3273

Other names 1

  • Miss Dorian Jones Former name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
2005038119MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dorian.doss.p1@direct.phcenters.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1538599279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JOST VILLA DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342270",
            "telephone_number": "314-452-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 JOST VILLA DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342270",
            "telephone_number": "314-452-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSS",
        "first_name": "DORIAN",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, LD, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2005038119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORIAN",
            "last_name": "JONES",
            "prefix": "MISS",
            "credential": "MS, RDN, LD, CPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.