NPIMap

Organization Active NPI

Padbury and Padbury, D.D.S, M.S., P.C.

  • Periodontics
  • Jackson, MI
National Provider Identifier
1316110984
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
1223P0300X Issued in MI
Legal business name
PADBURY AND PADBURY, D.D.S, M.S., P.C.
Practice address
306 W Washington Ave
202
Jackson, MI 49201-2169
Phone
(517) 784-2700
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dr. Allan Dale Padbury Jr., D.D.S.
Title
Periodontist
Phone
(517) 784-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 1223P0300X MI Primary

Addresses

Primary practice location

306 W Washington Ave
202
Jackson, MI 49201-2169

Mailing address

306 W Washington Ave
202
Jackson, MI 49201-2169
Phone (517) 784-2700

National Provider Directory

National Provider Directory

Locations

306 W Washington Ave
Ste 202
Jackson, MI 49201
Phone (517) 784-2700

Practitioners & affiliated clinicians

Practitioners 2

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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1316110984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W WASHINGTON AVE",
            "address_2": "202",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012169",
            "telephone_number": "517-784-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W WASHINGTON AVE",
            "address_2": "202",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012169",
            "telephone_number": "517-784-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADBURY AND PADBURY, D.D.S, M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "PADBURY",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "517-784-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "1223P0300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.