Paul M Dobson, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DI018438 Issued in NJ

Practice address

554 Rivervale Rd
Rivervale, NJ 07675-6472

Phone

(201) 666-0522

Fax

(201) 666-0164

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831274299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 RIVERVALE RD",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756472",
            "telephone_number": "201-666-0522",
            "fax_number": "201-666-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 RIVERVALE RD",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756472",
            "telephone_number": "201-666-0522",
            "fax_number": "201-666-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI018438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph J Coyne, PH.D.
• Amy Dahl, RD
• Wanju Shaw Dai, M.D.
• Amisha Desai, LMFT
• Mohana Deshpande, RPH
• Barbara E Donleavy-Hiller, OTR, ATP
• Donna J Ferraro MD
• Michelle Doonan, SPECIAL EDUCATOR
• Sarah Jill Dorado, OTRL
• Marianne Grace Dunn, PHD

• Dentist in River Vale, NJ
• Providers in River Vale, NJ by specialty
• Dentist 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.