Organization Active NPI

Jonathan Dzingle Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Petoskey, MI
National Provider Identifier
1104534916
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JONATHAN DZINGLE ORTHODONTICS PLLC
Practice address
414 Petoskey St
Petoskey, MI 49770-2618
Phone
(231) 347-4145
NPI assigned
Nov 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Jonathan Dzingle, DDSNPI 1689080392
Title
Orthodontist
Phone
(989) 400-9337

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

414 Petoskey St
Petoskey, MI 49770-2618

Mailing address

446 Hickory Bluff LN
Chelsea, MI 48118-1200
Phone (989) 400-9337

National Provider Directory

National Provider Directory

Locations

414 Petoskey St
Petoskey, MI 49770
Phone (231) 347-4145

Practitioners & affiliated clinicians

Practitioners 2

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": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1104534916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 HICKORY BLUFF LN",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181200",
            "telephone_number": "989-400-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PETOSKEY ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702618",
            "telephone_number": "231-347-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN DZINGLE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "DZINGLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "989-400-9337",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.