Michael J Doty, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D8736 Issued in MN

Practice address

140 2ND St SE
Milaca, MN 56353-1207

Phone

(320) 983-2455

NPI assigned

Sep 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael

  • General Practice Dentistry
  • Milaca, MN
  • NPI 1952520637
  Authorized official Same address or phone
• Borowicz Dental PLLC

  dba NorthBound Dental

  • Dental Clinic/Center
  • Milaca, MN
  • NPI 1295313021
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245334424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563530068",
            "telephone_number": "320-983-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 2ND ST SE",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531207",
            "telephone_number": "320-983-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D8736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52285-DO",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP48999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda Clary, CPM, LM
• Country Acres Foster Care
• Country Meadows of Milaca, Inc.
• Joel David De Haan, PA-C
• Holly Deans, MA
• Jennifer Duncan
• Elim Homes, Inc. (Elim Care and Rehab Center)
• Fairview Clinics (M Health Fairview Clinic - Milaca)
• Jennifer Flanagan, LADC
• Rebekah Forker, ATC

• Dentist in Milaca, MN
• Providers in Milaca, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.