Michael Doe, DMD P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL DOE, DMD P.C.

Practice address

1790 E Market St Ste 82
Harrisonburg, VA 22801-5112

Phone

(540) 433-1079

NPI assigned

Nov 17, 2021

Organization subpart

No

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

Authorized official

Name

Michael Doe, DMD

Title

Owner

Phone

(540) 433-1079

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1164188876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 E MARKET ST STE 82",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015112",
            "telephone_number": "540-433-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E MARKET ST STE 82",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015112",
            "telephone_number": "540-433-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DOE, DMD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "DOE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-433-1079",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Harrisonburg, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.