Active NPI
Michael Jared Dobson, D.M.D.
- General Practice Dentistry
- Corona, CA
National Provider Identifier
1962708016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56885
- Practice address
- 720 Magnolia Ave
Suite A3
Corona, CA 92879-3119 - Phone
- (951) 371-2142
- NPI assigned
- Feb 8, 2011
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 56885 | CA | Primary |
Addresses
Primary practice location
720 Magnolia Ave
Suite A3
Corona, CA 92879-3119
Mailing address
4334 Altivo LN
Corona, CA 92883-7329
Phone (951) 277-7477
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 |
|---|---|---|---|
| 56885 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dobson & Nguyen Dentistry Inc | General Practice | 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.
-
- General Practice Dentistry
- Corona, CA
- NPI 1720486889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1962708016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4334 ALTIVO LN",
"city": "CORONA",
"state": "CA",
"postal_code": "928837329",
"telephone_number": "951-277-7477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 MAGNOLIA AVE",
"address_2": "SUITE A3",
"city": "CORONA",
"state": "CA",
"postal_code": "928793119",
"telephone_number": "951-371-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBSON",
"first_name": "MICHAEL",
"middle_name": "JARED",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-08",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "56885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.