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
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2020.

{
    "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.