Organization Active NPI

John E. Jostock, D.D.S., P.L.L.C.

  • Dentist
  • Caro, MI
National Provider Identifier
1083030068
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019985 Issued in MI
Legal business name
JOHN E. JOSTOCK, D.D.S., P.L.L.C.
Practice address
204 W Sherman St
Caro, MI 48723-1534
Phone
(989) 673-2939
NPI assigned
Mar 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Dr. John Erich Jostock, DDSNPI 1235361916
Title
Dentist
Phone
(517) 231-7866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901019985 MI Primary

Addresses

Primary practice location

204 W Sherman St
Caro, MI 48723-1534

Mailing address

204 W Sherman St
Caro, MI 48723-1534
Phone (989) 673-2939

National Provider Directory

National Provider Directory

Locations

204 W Sherman St
Caro, MI 48723
Phone (989) 673-2939

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1083030068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W SHERMAN ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231534",
            "telephone_number": "989-673-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W SHERMAN ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231534",
            "telephone_number": "989-673-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. JOSTOCK, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "JOSTOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERICH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "517-231-7866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.