Individual provider Active NPI

Aliaksandr Dolbik, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1770076291
Registry record updated Jun 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34061 Issued in TX
Practice address
9820 Potranco Rd Ste 106
San Antonio, TX 78251-9627
Phone
(210) 298-4000
NPI assigned
Jun 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34061 TX
Dentist 122300000X 34061 TX Primary

Addresses

Primary practice location

9820 Potranco Rd Ste 106
San Antonio, TX 78251-9627

Mailing address

4000 Horizon Hill Blvd Apt 1710
San Antonio, TX 78229-2225
Phone (210) 574-1776

Other names 1

  • Dr. Alexander Dolbik Professional name

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

State licenses

LicenseStateTypeSpecialty
34061TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528502400000",
    "number": "1770076291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HORIZON HILL BLVD APT 1710",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292225",
            "telephone_number": "210-574-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 POTRANCO RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782519627",
            "telephone_number": "210-298-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLBIK",
        "first_name": "ALIAKSANDR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-09",
        "last_updated": "2018-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34061",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDER",
            "last_name": "DOLBIK",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2018; 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.