Robert H Doty, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14831 Issued in OH

Practice address

4313 Regal Ave
Brunswick, OH 44212-2978

Phone

(330) 225-0105

Fax

(330) 220-7883

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Doctors Doty & Gaebelein

  • General Practice Dentistry
  • Brunswick, OH
  • NPI 1538415203
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1992700785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 REGAL AVE",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122978",
            "telephone_number": "330-225-0105",
            "fax_number": "330-220-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 REGAL AVE",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122978",
            "telephone_number": "330-225-0105",
            "fax_number": "330-220-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "341343693",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCNESE NUMBER",
            "identifier": "14831",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Discount Drug Mart Inc
• Discount Drug Mart Inc
• Discount Opyical
• DMG Brunswick Rd Caputo DMD LLC
• Doctors Doty & Gaebelein
• Christina M Downing, B.S, PHARMD
• Aiden Padraic Doyle
• Brian Doyle
• Beverley Dreher
• Colleen Michele Driscoll, NP-C

• General Practice Dentistry in Brunswick, OH
• Providers in Brunswick, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.