Individual provider Active NPI

Adam Benjamin Dobkin, AU.D.

  • Audiologist
  • Costa Mesa, CA
National Provider Identifier
1629578299
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU3275 Issued in CA
Practice address
124 Broadway
Costa Mesa, CA 92627-2868
Phone
(949) 645-0886
Fax
(949) 645-0886
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU3275 CA Primary

Addresses

Primary practice location

124 Broadway
Costa Mesa, CA 92627-2868

Mailing address

124 Broadway
Costa Mesa, CA 92627-2868
Phone (949) 645-0886

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

State licenses

LicenseStateTypeSpecialty
AU3275CAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1629578299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BROADWAY",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272868",
            "telephone_number": "949-645-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BROADWAY",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272868",
            "telephone_number": "949-645-0886",
            "fax_number": "949-645-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBKIN",
        "first_name": "ADAM",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU3275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.