Brian Bruce Dolive, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15490 Issued in TX

Practice address

1403 McCann Rd
Longview, TX 75601-3852

Phone

(903) 753-7553

Fax

(903) 753-2726

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982614673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HUNTINGTON CIR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013537",
            "telephone_number": "903-753-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MCCANN RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013852",
            "telephone_number": "903-753-7553",
            "fax_number": "903-753-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLIVE",
        "first_name": "BRIAN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunha DO, PHARM.D.
• Kim DO, PHARM D
• Bobbi Jean Dodge, PTA
• Margaret M Dodson, WHNP
• David Doerrfeld, M.D.
• Julie A Dollison, CCP
• Dominian Health Services PA
• Philippa A Donaghy, P.T.
• Faustina N Donkor, DO
• Sherry Alexandra Donnelly, FNP-C

• General Practice Dentistry in Longview, TX
• Providers in Longview, TX by specialty
• General Practice Dentistry in Texas

• 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.

Verify at the official NPI Registry.