Organization Active NPI

Gregory J. Dardas, M.D., P.C.

  • Neurology Physician
  • Essexville, MI
National Provider Identifier
1114090438
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301065175 Issued in MI
Legal business name
GREGORY J. DARDAS, M.D., P.C.
Practice address
3588 Center Ave
Essexville, MI 48732-1760
Phone
(989) 893-0444
Fax
(989) 893-1099
NPI assigned
Nov 16, 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
Gregory J Dardas, M.D.NPI 1750350096
Title
Owner
Phone
(989) 893-0444

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
Neurology Physician 2084N0400X 4301065175 MI Primary

Addresses

Primary practice location

3588 Center Ave
Essexville, MI 48732-1760

Mailing address

3588 Center Ave
Essexville, MI 48732-1760
Phone (989) 893-0444

National Provider Directory

National Provider Directory

Locations

3588 Center Ave
Essexville, MI 48732
Phone (517) 893-0444

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

Practitioners & affiliated clinicians

Practitioners 3

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114090438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3588 CENTER AVE",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487321760",
            "telephone_number": "989-893-0444",
            "fax_number": "989-893-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3588 CENTER AVE",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487321760",
            "telephone_number": "989-893-0444",
            "fax_number": "989-893-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J. DARDAS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DARDAS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-893-0444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301065175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essexville, 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.