Docid1

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

DOCID1

Practice address

1980 Tamarack Rd
Newark, OH 43055-1363

Phone

(214) 277-3404

NPI assigned

Apr 10, 2016

Organization subpart

No

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

Authorized official

Name

Jim Griffin

Title

President

Phone

(214) 663-8965

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460246400000",
    "number": "1598129124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 W QUAIL HILL CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837033856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551363",
            "telephone_number": "214-277-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCID1",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-10",
        "last_updated": "2016-04-10",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-663-8965"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Renee Dingess
• April Dawn Dishon, REGISTERED NURSE
• Darin Eric Dishop, R.PH.
• Savanna D Dixon, LSW
• Erin Paige Dobbs, LSW
• Genevieve Dockery, MA, LPC, NCC
• Docoh1, LLC
• Amber R Dodd, COTA/L
• Katie J Dold
• Carlos B Domingo, M.D.

• Orthopaedic Surgery Physician in Newark, OH
• Providers in Newark, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2016; 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.