Individual provider Active NPI

Arthur Louis Doering, DDS

  • Dentist
  • Gainesville, FL
National Provider Identifier
1760779177
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020380 Issued in MI
Practice address
1600 SW Archer Rd RM D10-37
Gainesville, FL 32610-0436
Phone
(352) 273-5440
Fax
(352) 273-5446
NPI assigned
Jul 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020380 MI Primary

Addresses

Primary practice location

1600 SW Archer Rd RM D10-37
Gainesville, FL 32610-0436

Mailing address

PO Box 100436
Gainesville, FL 32610-0436
Phone (352) 273-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20161207000104 MI Order and Referring Only - DentistPractitioner - Dentist 9133409204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1760779177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100436",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100436",
            "telephone_number": "352-273-5440",
            "fax_number": "352-273-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD RM D10-37",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100436",
            "telephone_number": "352-273-5440",
            "fax_number": "352-273-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERING",
        "first_name": "ARTHUR",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.