Active NPI
Dennis Francis Dooley, RPH
- Community Health Worker
- Janesville, WI
National Provider Identifier
1760768071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 10822
- Practice address
- 1933 W Court St
Janesville, WI 53548-3417 - Phone
- (608) 755-9805
- NPI assigned
- Nov 1, 2011
- Last updated
- Nov 1, 2011
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 10822 | WI | Primary |
Addresses
Primary practice location
1933 W Court St
Janesville, WI 53548-3417
Mailing address
1913 Black Bridge Rd
Janesville, WI 53545-1207
Phone (608) 449-3524
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10822 | WI | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1760768071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 BLACK BRIDGE RD",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535451207",
"telephone_number": "608-449-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 W COURT ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535483417",
"telephone_number": "608-755-9805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLEY",
"first_name": "DENNIS",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "WI",
"license": "10822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.