Polly Dorber, ACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

766601 Issued in TX

Practice address

4001 W 15TH St Ste 425
Plano, TX 75093

Phone

(972) 696-0030

Fax

(972) 696-0037

NPI assigned

Aug 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: polly.dorber@hca7.eclinicaldirectplus.com

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.

• North Texas Surgical Oncology Associates PLLC

  • Surgical Oncology Physician
  • Plano, TX
  • NPI 1124362504
  NPD
• Acute Surgical Care Specialists PLLC

  • Surgery Physician
  • Plano, TX
  • NPI 1184837403
  NPD (past)
• Elective Surgical Care Specialists,PLLC

  • Surgery Physician
  • Plano, TX
  • NPI 1487952909
  NPD (past)
• Elite Orthopaedics of Irving PLLC

  • Orthopaedic Surgery Physician
  • Irving, TX
  • NPI 1982892105
  NPD (past)

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1881973139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 425",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935848",
            "telephone_number": "972-696-0030",
            "fax_number": "972-696-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 425",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-696-0030",
            "fax_number": "972-696-0037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6750 N MacArthur Blvd Ste 257",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750392875",
            "country_code": "US",
            "telephone_number": "972-696-0030",
            "fax_number": "972-696-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Forest Ln Ste B216",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752306810",
            "country_code": "US",
            "telephone_number": "972-696-0030",
            "fax_number": "972-696-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4510 Medical Center Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750691603",
            "country_code": "US",
            "telephone_number": "972-696-0030",
            "fax_number": "972-696-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5680 Frisco Square Blvd Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343312",
            "country_code": "US",
            "telephone_number": "972-696-0030",
            "fax_number": "972-696-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 W 15th St Ste 425",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935848",
            "country_code": "US",
            "telephone_number": "972-696-0030",
            "fax_number": "972-612-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3537 S Interstate 35 E Ste 220",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106813",
            "country_code": "US",
            "telephone_number": "972-696-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORBER",
        "first_name": "POLLY",
        "name_prefix": "Ms.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "766601",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "766601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Rose Dooley, MSN, FNP-C
• James Scott Dooley, D.D.S.
• Door2Door Transportation Services
• Darice Doorn, RD, LD
• Jessica Doran
• Robin Frances Dore, PA-C
• Tristan Grace Dorn
• Shunta Dorrough
• Dosa Plano, LLC
• Jaya G Doshi, DMD

• Acute Care Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.