Active NPI
Deborah D Dover, MD
- Neurology Physician
- Great Falls, MT
National Provider Identifier
1972504850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 10572
- Practice address
- 1401 25TH St S
Great Falls, MT 59405-5183 - Phone
- (406) 731-8888
- Fax
- (406) 731-8876
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 10572 | MT | Primary |
Addresses
Primary practice location
1401 25TH St S
Great Falls, MT 59405-5183
Mailing address
1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 731-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074766 | Medicaid | MT |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040707000607 | MT | Practitioner - Neurology | 8224015250 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Creighton University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlas Neurology LLC
Practice addresses (Care Compare)
401 15TH Ave S
Suite 101
Great Falls, MT 59405-4372
Phone (406) 315-5950
Hospital & facility affiliations
- Benefis Hospitals Inc
- Great Falls Clinic Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Neurology, LLC | Neurology | Current | Accepting new patients |
Locations
401 15th Ave S
Ste 101
Great Falls, MT 59405
Phone (406) 315-5950
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.
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1972504850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 25TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055183",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 25TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055183",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVER",
"first_name": "DEBORAH",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MT",
"license": "10572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0074766",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.
- 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.