Active NPI
Marvin Dobkin, DPM
- Podiatrist
- Tucson, AZ
National Provider Identifier
1790786382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0117
- Practice address
- 2825 E Broadway Blvd
Tucson, AZ 85716-5309 - Phone
- (520) 881-3338
- Fax
- (520) 881-0780
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0117 | AZ | Primary |
Addresses
Primary practice location
2825 E Broadway Blvd
Tucson, AZ 85716-5309
Mailing address
2825 E Broadway Blvd
Tucson, AZ 85716-5309
Phone (520) 881-3338
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1Z8514 | Other | HEALTH NET | |
| 860298630 | Other | AZ | HUMANA |
| AZ0065730 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 701202 | Medicaid | AZ | |
| 4094652 | Other | AZ | AETNA |
| 480012486 | Other | AZ | RAILROAD MEDICARE |
| 860298630 | Other | AZ | UNITED HEALTHCARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0117 | AZ | MD | Acupuncturist |
| 117 | AZ | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1790786382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857165309",
"telephone_number": "520-881-3338",
"fax_number": "520-881-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857165309",
"telephone_number": "520-881-3338",
"fax_number": "520-881-0780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBKIN",
"first_name": "MARVIN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "0117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "1Z8514",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "860298630",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0065730",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "701202",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4094652",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480012486",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "860298630",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.