Active NPI
Jacob Burton Doris, MD
- Psychiatry Physician
- Reno, NV
National Provider Identifier
1891829016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 13592
- Practice address
- 975 Kirman Ave
(116)
Reno, NV 89502-0993 - Phone
- (775) 326-5720
- Fax
- (775) 328-1403
- NPI assigned
- Mar 16, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 13592 | NV | Primary |
Addresses
Primary practice location
975 Kirman Ave
(116)
Reno, NV 89502-0993
Mailing address
975 Kirman Ave
(116)
Reno, NV 89502-0993
Phone (775) 326-5720
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 |
|---|---|---|---|
| 13592 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1891829016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 KIRMAN AVE",
"address_2": "(116)",
"city": "RENO",
"state": "NV",
"postal_code": "895020993",
"telephone_number": "775-326-5720",
"fax_number": "775-328-1403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 KIRMAN AVE",
"address_2": "(116)",
"city": "RENO",
"state": "NV",
"postal_code": "895020993",
"telephone_number": "775-326-5720",
"fax_number": "775-328-1403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORIS",
"first_name": "JACOB",
"middle_name": "BURTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "13592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.