Individual provider Active NPI

Allan Joseph Dovigi, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • San Diego, CA
National Provider Identifier
1629168265
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
60085 Issued in CA
Practice address
9520 Chesapeake Dr
Suite 607
San Diego, CA 92123-1331
Phone
(800) 955-4765
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 7084 AZ
Oral and Maxillofacial Pathology Dentistry 1223P0106X 60085 CA Primary

Addresses

Primary practice location

9520 Chesapeake Dr
Suite 607
San Diego, CA 92123-1331

Mailing address

9520 Chesapeake Dr
Suite 607
San Diego, CA 92123-1331
Phone (800) 955-4765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 10, 2017 through Apr 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7084AZMDOral and Maxillofacial Pathology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Davies Pathology & Industry, Inc. Oral and Maxillofacial Pathology Past Accepting new patients
L R Eversole a Dental Corporation Oral and Maxillofacial Pathology Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1629168265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 CHESAPEAKE DR",
            "address_2": "SUITE 607",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231331",
            "telephone_number": "800-955-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 CHESAPEAKE DR",
            "address_2": "SUITE 607",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231331",
            "telephone_number": "800-955-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVIGI",
        "first_name": "ALLAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "AZ",
            "license": "7084",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "60085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.