Herman Allen Dobbs III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34742 Issued in AZ

Practice address

4212 N 16TH St
Phoenix, AZ 85016-5319

Phone

(602) 768-8003

NPI assigned

Apr 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cochiti Health Clinic

  • General Acute Care Hospital
  • Cochiti Pueblo, NM
  • NPI 1093814691
  NPD (past)
• San Felipe Health Clinic

  • General Acute Care Hospital
  • San Felipe, NM
  • NPI 1831274851
  NPD (past)
• Santa Clara Health Center

  • General Acute Care Hospital
  • Espanola, NM
  • NPI 1043396377
  NPD (past)
• Santo Domingo Health Clinic

  • General Acute Care Hospital
  • Santo Domingo Pueblo, NM
  • NPI 1376632695
  NPD (past)

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

{
    "created_epoch": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841253036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 N 2ND AVE",
            "address_2": "UNIT 1B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031540",
            "telephone_number": "602-616-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-768-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "HERMAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34742",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "96-44",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "590134",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Dobberstein, PTA
• Marsha Marie Dobbertin, R.N.
• Mia Lynne Dobbin, DO
• Kera Hope Dobbins, OD
• Michael Dobbins, PA-C
• Michael David Dobbs, M.D.
• Jenna M Dobkin, PNP
• Michelle Dobrowski, LMSW
• Richard S Dobrusin, D.O.
• Dana Dobson

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.