NPIMap

Organization Active NPI

David R Backus DDS

  • Dentist
  • Orchard Lake, MI
National Provider Identifier
1194127258
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901012277 Issued in MI
Legal business name
DAVID R BACKUS DDS
Practice address
4633 Dow Ridge Rd
Orchard Lake, MI 48324-2326
Phone
(248) 683-8188
NPI assigned
Sep 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Authorized official

Name
Dr. David Richard Backus, DDSNPI 1295346351
Title
Owner
Phone
(248) 683-8188

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 2901012277 MI Primary

Addresses

Primary practice location

4633 Dow Ridge Rd
Orchard Lake, MI 48324-2326

Mailing address

4633 Dow Ridge Rd
Orchard Lake, MI 48324-2326
Phone (248) 683-8188

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.

NPI Registry JSON

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411171200000",
    "number": "1194127258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 DOW RIDGE RD",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483242326",
            "telephone_number": "248-683-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 DOW RIDGE RD",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483242326",
            "telephone_number": "248-683-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R BACKUS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-20",
        "last_updated": "2014-09-20",
        "status": "A",
        "authorized_official_last_name": "BACKUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-683-8188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901012277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.