Organization Active NPI

Sally D. Orr, D.D.S., P.C.

  • Dentist
  • Laurium, MI
National Provider Identifier
1073563169
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14704 Issued in MI
Legal business name
SALLY D. ORR, D.D.S., P.C.
Practice address
77 3Rd St
Laurium, MI 49913-2120
Phone
(906) 337-0444
Fax
(906) 337-1908
NPI assigned
May 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sally Druskovich Orr, D.D.S.
Title
President
Phone
(906) 337-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14704 MI Primary

Addresses

Primary practice location

77 3Rd St
Laurium, MI 49913-2120

Mailing address

77 3Rd St
Laurium, MI 49913-2120
Phone (906) 337-0444

Other identifiers 2

IdentifierTypeStateIssuer
D147040OtherMIBLUE CROSS ID NUMBER
4836892MedicaidMI

Other names 1

  • Sally D. Orr, D.D.S. Former legal business name

National Provider Directory

National Provider Directory

Locations

77 3rd St
Laurium, MI 49913
Phone (906) 337-0444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073563169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 3RD ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132120",
            "telephone_number": "906-337-0444",
            "fax_number": "906-337-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 3RD ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132120",
            "telephone_number": "906-337-0444",
            "fax_number": "906-337-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY D. ORR, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "DRUSKOVICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-337-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "14704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID NUMBER",
            "identifier": "D147040",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4836892",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sally D. Orr, D.D.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Laurium, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.