Individual provider Active NPI

Jimmie Dean Dobbs, CMII

  • Case Manager/Care Coordinator
  • Poteau, OK
National Provider Identifier
1659041556
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
315692 Issued in OK
Practice address
210 S Wilson St
Poteau, OK 74953-4917
Phone
(918) 520-1240
NPI assigned
Sep 14, 2021
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 315692 OK Primary

Addresses

Primary practice location

210 S Wilson St
Poteau, OK 74953-4917

Mailing address

210 S Wilson St
Poteau, OK 74953-4917
Phone (918) 520-1240

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dobbs01@alumni.nsuok.edu Direct Eastern Oklahoma Mental Health & Counseling LLC

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

State licenses

LicenseStateTypeSpecialty
315692OKMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1659041556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S WILSON ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534917",
            "telephone_number": "918-520-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S WILSON ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534917",
            "telephone_number": "918-520-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "JIMMIE",
        "middle_name": "DEAN",
        "credential": "CMII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "315692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dobbs01@alumni.nsuok.edu",
            "affiliation": "Y",
            "endpointDescription": "mail",
            "affiliationName": "Eastern Oklahoma Mental Health & Counseling LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 S Wilson St",
            "city": "Poteau",
            "state": "OK",
            "country_code": "US",
            "postal_code": "749534917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.