Active NPI
Sally D. Orr, D.D.S., P.C.
- Dentist
- Laurium, MI
National Provider Identifier
1073563169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14704
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D147040 | Other | MI | BLUE CROSS ID NUMBER |
| 4836892 | Medicaid | MI |
Other names 1
- Sally D. Orr, D.D.S.
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Laurium, MI
- NPI 1689625790
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.