Michael Richard Dorociak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11060 Issued in FL

Practice address

3900 Clark Rd Ste J5
Sarasota, FL 34233-2367

Phone

(941) 924-1100

Fax

(941) 924-6527

NPI assigned

Mar 7, 2007

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 R Dorociak DDS PA

  • General Practice Dentistry
  • Sarasota, FL
  • NPI 1508313198
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275663270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE J5",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332367",
            "telephone_number": "941-924-1100",
            "fax_number": "941-924-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE J5",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332367",
            "telephone_number": "941-924-1100",
            "fax_number": "941-924-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROCIAK",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "11060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Dontsova, D.D.S.
• Julie Amanda Dooley, APRN
• Jule Doran, LMHC
• Tatiana Dorenko, DNP, ARNP, FNP-BC
• Dori E Goldfarb PHD
• Dorothy a Izmirlian DO PA
• Bradley Dorrill, LMHC
• Douglas A Dorsay, M.D
• Jennifer N. Douglas, ARNP-C
• June Annette Douglas

• General Practice Dentistry in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Dentistry in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.