Organization Active NPI

Dannie J Gentry MD PC

  • Obstetrics Physician
  • Ludington, MI
National Provider Identifier
1073664041
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
4301073931 Issued in MI
Legal business name
DANNIE J GENTRY MD PC
Practice address
250 N Nelson Rd
Suite 1
Ludington, MI 49431-1942
Phone
(231) 843-6767
Fax
(231) 843-6522
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Dannie Joe Gentry Jr., MD
Title
Owner
Phone
(231) 843-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X 4301073931 MI Primary

Addresses

Primary practice location

250 N Nelson Rd
Suite 1
Ludington, MI 49431-1942

Mailing address

250 N Nelson Rd
Suite 1
Ludington, MI 49431-1942
Phone (231) 843-6767

Other names 1

  • Ludington Ob Gyn Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1073664041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N NELSON RD",
            "address_2": "SUITE 1",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311942",
            "telephone_number": "231-843-6767",
            "fax_number": "231-843-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N NELSON RD",
            "address_2": "SUITE 1",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311942",
            "telephone_number": "231-843-6767",
            "fax_number": "231-843-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNIE J GENTRY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "DANNIE",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-843-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "4301073931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ludington Ob Gyn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ludington, MI

Sources for this page

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