Organization Active NPI

Per a Dovre MD Inc

  • Obstetrics & Gynecology Physician
  • Paradise, CA
National Provider Identifier
1992036750
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G19317 Issued in CA
Legal business name
PER A DOVRE MD INC
Practice address
6283 Clark Rd
Suite 8
Paradise, CA 95969-4100
Phone
(530) 872-2229
Fax
(530) 872-3308
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Per A Dovre, MD
Title
President/MD
Phone
(530) 872-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G19317 CA Primary

Addresses

Primary practice location

6283 Clark Rd
Suite 8
Paradise, CA 95969-4100

Mailing address

6283 Clark Rd
Suite 8
Paradise, CA 95969-4100
Phone (530) 872-2229

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidCA

National Provider Directory

National Provider Directory

Locations

6283 Clark Rd
Ste 8
Paradise, CA 95969
Phone (530) 872-2229

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1992036750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6283 CLARK RD",
            "address_2": "SUITE 8",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694100",
            "telephone_number": "530-872-2229",
            "fax_number": "530-872-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6283 CLARK RD",
            "address_2": "SUITE 8",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694100",
            "telephone_number": "530-872-2229",
            "fax_number": "530-872-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PER A DOVRE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "DOVRE",
        "authorized_official_first_name": "PER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "530-872-2229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G19317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.