Organization Active NPI

Zubke Family Dentistry

  • General Practice Dentistry
  • Escanaba, MI
National Provider Identifier
1124764089
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ZUBKE FAMILY DENTISTRY
Practice address
1106 1St Ave S
Escanaba, MI 49829-3411
Phone
(906) 786-3891
Fax
(906) 786-3829
NPI assigned
May 12, 2022
Last updated
May 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Ann M Nordin
Title
Office Assistant
Phone
(906) 786-3891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1106 1St Ave S
Escanaba, MI 49829-3411

Mailing address

1106 1St Ave S
Escanaba, MI 49829-3411
Phone (906) 786-3891

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1124764089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 1ST AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293411",
            "telephone_number": "906-786-3891",
            "fax_number": "906-786-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 1ST AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293411",
            "telephone_number": "906-786-3891",
            "fax_number": "906-786-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUBKE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "NORDIN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "906-786-3891"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.