Jordan Thomas Dobmeier, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5950 Issued in MT

Practice address

606 S Grant Ave
Red Lodge, MT 59068-9271

Phone

(406) 446-1010

NPI assigned

Jun 17, 2013

Last updated

Oct 27, 2017By the provider in NPPES

Sex

Male

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

Enrolled in MT

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1942649504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 NEWPORT BEACH WAY UNIT 8",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591062546",
            "telephone_number": "701-640-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S GRANT AVE",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590689271",
            "telephone_number": "406-446-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBMEIER",
        "first_name": "JORDAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-5950",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "5950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory David Burfeind, M.D.
• Carbon County Senior Care, LLC
• City of Red Lodge (Red Lodge Fire & Rescue)
• Dallas Elise Clark, MD
• County of Carbon
• Kathleen Joyce Durant, D.C.
• Craig C Erickson
• Shirley A Erickson, RPH
• Patrick Erley, PA-C
• David George Evans, D.D.S.P.C.

• General Practice Dentistry in Red Lodge, MT
• Providers in Red Lodge, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.