Active NPI
David M Dobin, DDS, MS
- Endodontics
- Brentwood, CA
National Provider Identifier
1992892814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 37411
- Practice address
- 1140 Second Street, Suite B
Brentwood, CA 94513 - Phone
- (925) 240-8111
- Fax
- (925) 240-5227
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 37411 | CA | Primary |
Addresses
Primary practice location
1140 Second Street, Suite B
Brentwood, CA 94513
Mailing address
1140 Second Street, Suite B
Brentwood, CA 94513
Phone (925) 240-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130723000723 | CA | Order and Referring Only - Oral Surgery | 3072754704 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1992892814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 SECOND STREET, SUITE B",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "94513",
"telephone_number": "925-240-8111",
"fax_number": "925-240-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 SECOND STREET, SUITE B",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "94513",
"telephone_number": "925-240-8111",
"fax_number": "925-240-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBIN",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "37411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.