Individual provider Active NPI

Tim Dockman, D.O.

  • General Practice Physician
  • Virginia Beach, VA
National Provider Identifier
1992090088
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18587 Issued in CA
Practice address
2533 Pleasure House Rd
Virginia Beach, VA 23455-1359
Phone
(619) 865-6893
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18587 CA Primary

Addresses

Primary practice location

2533 Pleasure House Rd
Virginia Beach, VA 23455-1359

Mailing address

2533 Pleasure House Rd
Virginia Beach, VA 23455-1359
Phone (619) 865-6893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
18587CAMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: timothy.dockman@3856.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1992090088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 PLEASURE HOUSE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551359",
            "telephone_number": "619-865-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 PLEASURE HOUSE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551359",
            "telephone_number": "619-865-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKMAN",
        "first_name": "TIM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "18587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.