Individual provider Active NPI

Michael Joseph Dobersen, M.D., PH.D.

  • Forensic Pathology Physician
  • Centennial, CO
National Provider Identifier
1639399082
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
30921 Issued in CO
Practice address
Arapahoe County Coroner'S Office
13101-E. Bronco'S Pkwy
Centennial, CO 80112-4668
Phone
(720) 874-3625
Fax
(720) 874-3627
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Pathology Physician 207ZF0201X 30921 CO Primary

Addresses

Primary practice location

Arapahoe County Coroner'S Office
13101-E. Bronco'S Pkwy
Centennial, CO 80112-4668

Mailing address

7731 S Windermere St
Littleton, CO 80120-8000
Phone (303) 795-7611

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)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
30921COMDForensic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639399082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7731 S WINDERMERE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208000",
            "telephone_number": "303-795-7611",
            "fax_number": "720-874-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ARAPAHOE COUNTY CORONER'S OFFICE",
            "address_2": "13101-E. BRONCO'S PKWY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124668",
            "telephone_number": "720-874-3625",
            "fax_number": "720-874-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBERSEN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "CO",
            "license": "30921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.