Active NPI
Patrick Dobbins, D.C.
- Chiropractor
- Ave Maria, FL
National Provider Identifier
1902033079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH14774
- Practice address
- 4897 Gambero Way
Ave Maria, FL 34142-5127 - Phone
- (510) 747-8707
- Fax
- (239) 237-5471
- NPI assigned
- Jun 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH14774 | FL | Primary |
Addresses
Primary practice location
4897 Gambero Way
Ave Maria, FL 34142-5127
Mailing address
4897 Gambero Way
Ave Maria, FL 34142-5127
Phone (510) 747-8707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240116001066 | FL | Practitioner - Chiropractic | 5395134589 | Practice locations: Ave Maria, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4897 Gambero Way
Ave Maria, FL 34142-5127
Phone (510) 747-8707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31250 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707004800000",
"number": "1902033079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4897 GAMBERO WAY",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341425127",
"telephone_number": "510-747-8707",
"fax_number": "239-237-5471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4897 GAMBERO WAY",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341425127",
"telephone_number": "510-747-8707",
"fax_number": "239-237-5471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBINS",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-16",
"last_updated": "2024-02-04",
"certification_date": "2024-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH14774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ave Maria, FL
- Collier Health Services, Inc (Healthcare Network)
- Collier Health Services, Inc (Healthcare Network)
- Dawn Costanzo, RMHCI
- Reagan Curry
- Luisa Ines Del Toro, O.D.
- Rosemarie F Dobrydney, ARNP
- Katiana Duran Oliveros, APRN
- Elite Caregivers USA LLC
- Elizabeth Galanti, Licensed Mental Health Counselor, PLLC
- Raul G Enad, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.