Robert Lee Dabney Jr.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2475 Montclair LN
Montgomery, IL 60538-5076

Phone

(901) 338-8577

NPI assigned

Nov 20, 2021

Last updated

Nov 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dabney Professional Group, LLC.

  dba VetPark

  • Peer Specialist
  • Montgomery, IL
  • NPI 1801548615
  NPD Authorized official

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637366400000",
    "number": "1710644109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 MONTCLAIR LN",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605385076",
            "telephone_number": "901-338-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 MONTCLAIR LN",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605385076",
            "telephone_number": "901-338-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABNEY",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-20",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Coventry
• Emily Crawl
• Criticare Ambulance Service Inc
• Hannah Cure
• Dabney Professional Group, LLC. (VetPark)
• David C. Clinton, P.C.
• Dhara R Dedhia, PHARM D
• Ryan Joseph Desalvo, RN
• Dezyeve Priority Homecare LLC
• Dezyeve Proirity Homecare

• Peer Specialist in Montgomery, IL
• Providers in Montgomery, IL by specialty
• Peer Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; 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.