Active NPI
William E Dobbs, DDS
- Dentist
- Mankato, MN
National Provider Identifier
1962613638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D6204
- Practice address
- 309 Holly LN Ste 101
Mankato, MN 56001-6276 - Phone
- (507) 388-2120
- Fax
- (507) 388-3924
- NPI assigned
- May 24, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D6204 | MN | Primary |
Addresses
Primary practice location
309 Holly LN Ste 101
Mankato, MN 56001-6276
Mailing address
310 N Minnesota Ave
Saint Peter, MN 56082-2415
Phone (507) 388-2120
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6204 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Mankato, MN
- NPI 1891740908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962613638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N MINNESOTA AVE",
"city": "SAINT PETER",
"state": "MN",
"postal_code": "560822415",
"telephone_number": "507-388-2120",
"fax_number": "507-388-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 HOLLY LN STE 101",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016276",
"telephone_number": "507-388-2120",
"fax_number": "507-388-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBS",
"first_name": "WILLIAM",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D6204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.