Individual provider Active NPI

David C Dorland, MS PT

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1811953425
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5219 Issued in AZ
Practice address
18221 N 46TH Dr
Glendale, AZ 85308-1509
Phone
(602) 321-8663
NPI assigned
Apr 22, 2006
Last updated
Nov 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5219 AZ Primary

Addresses

Primary practice location

18221 N 46TH Dr
Glendale, AZ 85308-1509

Mailing address

18221 N 46TH Dr
Glendale, AZ 85308-1509
Phone (602) 321-8663

Other identifiers 1

IdentifierTypeStateIssuer
793936MedicaidAZ

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5219AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dorland Physical Therapy and Rehab Specialists Physical Therapist PastSince May 15, 2003 Accepting new patients
Strength Training Inc Past Accepting new patients
Brian S Page DO LLC Past Accepting new patients

Organizations & group practices 3

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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1811953425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18221 N 46TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081509",
            "telephone_number": "602-321-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18221 N 46TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081509",
            "telephone_number": "602-321-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORLAND",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793936",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.