Allan Dale Padbury, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901008869 Issued in MI

Practice address

306 W Washington Ave
202
Jackson, MI 49201-2169

Phone

(517) 784-2700

NPI assigned

May 11, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Padbury and Padbury, D.D.S, M.S., P.C.

  • Periodontics
  • Jackson, MI
  • NPI 1316110984
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023223336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W WASHINGTON AVE",
            "address_2": "202",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012169",
            "telephone_number": "517-784-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W WASHINGTON AVE",
            "address_2": "202",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012169",
            "telephone_number": "517-784-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADBURY",
        "first_name": "ALLAN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901008869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Owsley, MA
• Emily Oxbrough, LLMSW
• Charles Onyekachi Ozukwe Jr.
• P-Cor,LLC
• Padbury and Padbury, D.D.S, M.S., P.C.
• Allan Dale Padbury Jr., D.D.S.
• Branda Elizabeth Page, MS, BSN, RN
• Elisa Page
• Jacquelyn Lynn Page, CPHT
• Mathew Alan Page, DPM

• Periodontics in Jackson, MI
• Providers in Jackson, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.