Victor Adam Patronik, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12306 Issued in MI

Practice address

109 East Superior
Munising, MI 49862

Phone

(906) 387-2482

NPI assigned

Nov 27, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Bi-County Dental PC

  • Dental Clinic/Center
  • Munising, MI
  • NPI 1902455249
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1376619973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 EAST SUPERIOR",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498621121",
            "telephone_number": "906-387-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 EAST SUPERIOR",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "49862",
            "telephone_number": "906-387-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRONIK",
        "first_name": "VICTOR",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4051017",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt Richard Olson, M.D.
• Mark Walter Olson, M.D.
• Ryan Kurt Olson, CNP
• Heather Palmer
• Pathways Community Mental Health
• Kerrie Phillipson
• Jan Hazel Prokosch, FNPC
• Emily Rose Prunick, FNP-C
• Putvin Health Mart of Munising Inc
• Chelsea Elise Ray, MD

• All providers in Munising, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.