Organization Active NPI

Robert Armstrong DDS Fagd PC

  • Dental Clinic/Center
  • Cheboygan, MI
National Provider Identifier
1033447651
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901014934 Issued in MI
Legal business name
ROBERT ARMSTRONG DDS FAGD PC
Practice address
104 Duncan Ave
Cheboygan, MI 49721-1312
Phone
(231) 627-7172
Fax
(231) 627-1101
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Robert Armstrong, DDS
Title
Owner
Phone
(231) 627-7172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901014934 MI Primary

Addresses

Primary practice location

104 Duncan Ave
Cheboygan, MI 49721-1312

Mailing address

104 Duncan Ave
Cheboygan, MI 49721-1312
Phone (231) 627-7172

Other identifiers 2

IdentifierTypeStateIssuer
12 2605840MedicaidMI
1144225574OtherMINPI

National Provider Directory

National Provider Directory

Locations

104 Duncan Ave
Cheboygan, MI 49721
Phone (231) 627-7172

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1033447651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DUNCAN AVE",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211312",
            "telephone_number": "231-627-7172",
            "fax_number": "231-627-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DUNCAN AVE",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211312",
            "telephone_number": "231-627-7172",
            "fax_number": "231-627-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ARMSTRONG DDS FAGD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-627-7172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901014934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12 2605840",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144225574",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.