Michael Allen Furmanski Sr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4479 Issued in NE

Practice address

302 S Bailey Ave
North Platte, NE 69101-5407

Phone

(308) 532-0427

Fax

(308) 532-9410

NPI assigned

Oct 25, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Good Life Dental, P.C.

  • Dental Clinic/Center
  • North Platte, NE
  • NPI 1912376617
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033109665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S BAILEY AVE",
            "address_2": "PO BOX 1575",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015407",
            "telephone_number": "308-532-0427",
            "fax_number": "308-532-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S BAILEY AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015407",
            "telephone_number": "308-532-0427",
            "fax_number": "308-532-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURMANSKI",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "4479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47061846200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in North Platte, NE
• Providers in North Platte, NE by specialty
• Dentist in Nebraska

• 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.