Individual provider Active NPI

David Peter Dobrowski, D.D.S.

  • General Practice Dentistry
  • Northfield, OH
National Provider Identifier
1891853545
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-016411 Issued in OH
Practice address
34 E Aurora Rd Ste a
Northfield, OH 44067-2062
Phone
(330) 468-5611
Fax
(330) 468-0069
NPI assigned
Dec 5, 2006
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-016411 OH Primary

Addresses

Primary practice location

34 E Aurora Rd Ste a
Northfield, OH 44067-2062

Mailing address

34 E Aurora Rd Ste a
Northfield, OH 44067-2062
Phone (330) 468-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20180926000894 OH Practitioner - Oral Surgery 9830496777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-016411OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lorain County Health & Dentistry CurrentSince Aug 27, 2018 Accepting new patients
Lorain County Health & Dentistry CurrentSince Aug 27, 2018 Accepting new patients

Locations

105 Louden Ct
Elyria, OH 44035

1205 Broadway
Lorain, OH 44052

260 S Main St
Oberlin, OH 44074

Interoperability endpoints

  • Direct secure messaging: david.dobrowski.p11@direct.loraincountyhealth.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1891853545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E AURORA RD STE A",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672062",
            "telephone_number": "330-468-5611",
            "fax_number": "330-468-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 E AURORA RD STE A",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672062",
            "telephone_number": "330-468-5611",
            "fax_number": "330-468-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBROWSKI",
        "first_name": "DAVID",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-016411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, OH

Sources for this page

Verify at the official NPI Registry.