Individual provider Active NPI

Dolores Jenny Baran, DDS

  • General Practice Dentistry
  • Royal Oak, MI
National Provider Identifier
1023196003
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15013 Issued in MI
Practice address
1103 N Main St
Ste a
Royal Oak, MI 48067
Phone
(248) 548-1440
Fax
(248) 548-3880
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15013 MI Primary

Addresses

Primary practice location

1103 N Main St
Ste a
Royal Oak, MI 48067

Mailing address

1103 N Main St
Ste a
Royal Oak, MI 48067
Phone (248) 548-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20170815001002 MI Order and Referring Only - DentistPractitioner - Dentist 2961774724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15013MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dolores J. Baran D.D.S., P.C. General Practice PastSince Jul 1, 1988 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023196003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N MAIN ST",
            "address_2": "STE A",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48067",
            "telephone_number": "248-548-1440",
            "fax_number": "248-548-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N MAIN ST",
            "address_2": "STE A",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48067",
            "telephone_number": "248-548-1440",
            "fax_number": "248-548-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAN",
        "first_name": "DOLORES",
        "middle_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.