Active NPI
Robert George Dorr, MD
- Pediatrics Physician
- Branford, CT
National Provider Identifier
1831270297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 023679
- Practice address
- 420 E Main St # 6
Branford, CT 06405 - Phone
- (203) 488-8345
- Fax
- (203) 483-8668
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 023679 | CT | Primary |
Addresses
Primary practice location
420 E Main St # 6
Branford, CT 06405
Mailing address
420 E Main St # 6
Branford, CT 06405
Phone (203) 488-8345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010023679CT01 | Other | CT | ANTHEM BLUE CROSS BLUE SH |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023679 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert G Dorr | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- rdorr@ctproviderdirect.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831270297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E MAIN ST # 6",
"city": "BRANFORD",
"state": "CT",
"postal_code": "06405",
"telephone_number": "203-488-8345",
"fax_number": "203-483-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E MAIN ST # 6",
"city": "BRANFORD",
"state": "CT",
"postal_code": "06405",
"telephone_number": "203-488-8345",
"fax_number": "203-483-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORR",
"first_name": "ROBERT",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "023679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "010023679CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.