Robert Joseph Dornauer, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30016237 Issued in OH

Practice address

2355 West Market Street
Tiffin, OH 44883-8937

Phone

(419) 447-0253

Fax

(419) 447-2054

NPI assigned

Aug 25, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730297284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 WEST MARKET STREET",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838937",
            "telephone_number": "419-447-0253",
            "fax_number": "419-447-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 WEST MARKET STREET",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838937",
            "telephone_number": "419-447-0253",
            "fax_number": "419-447-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNAUER",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30016237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "34163264600",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0613170",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Marie Dickerson, L.P.C.C., R.N.,
• Marissa Anne Dickinson
• Dinesh C. Thekdi, M.D., Inc.
• Jennifer Lynne Distel
• Kyle D. Dorkoskie, PA-C
• Marilyn Susan Dorsey, FNP-C
• Emily Doster, LSW
• Samantha Ann Dotson, NP-C
• Dr Munir Ahmad MD LTD
• DRS. Hoffman, Birmingham & Associates, Inc.

• Oral and Maxillofacial Surgery (Dentist) in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.