Dorothy Drain, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19906 Issued in NJ

Practice address

601 Liberty PL
Sicklerville, NJ 08081-5700

Phone

(856) 740-1110

Fax

(856) 740-1105

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801976113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ELSWORTH DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814428",
            "telephone_number": "856-740-1110",
            "fax_number": "856-740-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LIBERTY PL",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815700",
            "telephone_number": "856-740-1110",
            "fax_number": "856-740-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAIN",
        "first_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "19906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "19906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Digestive Health Physicians PA
• Shawna Dina
• Divine Support Services
• Domonique Dixon
• Brandon Dorsey
• Donna Driscoll, PHARMD
• DRS. Stein Cullen Dental Group, LLC
• Terra R Dukes
• Nara Durant
• Dynamic Chiropractic

• General Practice Dentistry in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.