Active NPI
Michael Joseph Dobersen, M.D., PH.D.
- Forensic Pathology Physician
- Centennial, CO
National Provider Identifier
1639399082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- 30921
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30921 | CO | MD | Forensic 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.