Active NPI
Clinton B Dorwart, M.D.
- Family Medicine Physician
- Sidney, NE
National Provider Identifier
1669551552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15800
- Practice address
- 1625 Dorwart Dr
Sidney, NE 69162-2505 - Phone
- (308) 254-5544
- Fax
- (308) 254-2672
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15800 | NE | Primary |
Addresses
Primary practice location
1625 Dorwart Dr
Sidney, NE 69162-2505
Mailing address
1625 Dorwart Dr
PO Box 379
Sidney, NE 69162-2505
Phone (308) 254-5544
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15800 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Medical Foundation | Past | Accepting new patients | |
| Regional West Physicians Clinic | 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.
-
- Clinic/Center
- Sidney, NE
- NPI 1710064316
-
- Rural Health Clinic/Center
- Mitchell, NE
- NPI 1992703425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186012800000",
"number": "1669551552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 DORWART DR",
"address_2": "PO BOX 379",
"city": "SIDNEY",
"state": "NE",
"postal_code": "691622505",
"telephone_number": "308-254-5544",
"fax_number": "308-254-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 DORWART DR",
"city": "SIDNEY",
"state": "NE",
"postal_code": "691622505",
"telephone_number": "308-254-5544",
"fax_number": "308-254-2672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORWART",
"first_name": "CLINTON",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "15800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sidney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.