provider dba name
prvdr_dba_nmDefinition
ISO-11179 Definition
The doing business as name under which a healthcare provider or organization operates publicly, which may differ from the legal entity name registered with the IRS or state licensing board. DBA names are common when healthcare organizations operate multiple clinics or practices under a brand name distinct from their legal corporate name. CMS NPPES allows providers to register DBA names alongside their legal name in the NPI registry.
Healthcare data teams maintain prvdr_dba_nm in provider master data tables to support member-facing provider directory accuracy, network adequacy reporting, and claims matching workflows where the billing name on a claim may reflect the DBA rather than the legal entity name, enabling correct provider identity resolution across disparate source systems.
Standard Abbreviation
prvdr_dba_nm
Category
Production DDL — DIM_PROVIDER
CREATE OR REPLACE TABLE DIM_PROVIDER (
prvdr_key INTEGER NOT NULL -- surrogate key,
prvdr_npi VARCHAR(10) -- NPI number,
prvdr_tin VARCHAR(10) -- tax ID number,
prvdr_first_nm VARCHAR(100) -- first name,
prvdr_last_nm VARCHAR(100) -- last name,
prvdr_org_nm VARCHAR(255) -- organization name,
prvdr_typ_cd VARCHAR(20) -- provider type code,
prvdr_spclty_cd VARCHAR(10) -- specialty code,
prvdr_tax VARCHAR(10) -- taxonomy code,
prvdr_state_cd CHAR(2) -- state code,
prvdr_zip_cd VARCHAR(10) -- zip code,
prvdr_ntwk_sts VARCHAR(10) -- network status,
prvdr_accpt_pt_ind CHAR(1) -- accepting patients,
prvdr_excl_ind CHAR(1) -- exclusion indicator,
load_dt TIMESTAMP_NTZ NOT NULL -- load timestamp
);
Standard Snowflake DDL for the canonical provider table. Convert to BigQuery or Databricks →
Why This Term Matters
Provider data management is one of the most operationally complex data domains in healthcare because providers move, merge, and update their credentials continuously. A data engineer who understands provider terminology can build NPI validation, credentialing, and network adequacy pipelines that keep provider directories accurate and prevent claim rejections. Stale or incorrect provider data is a leading cause of prior authorization delays and CMS compliance findings.
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