Mark Joseph Dobry, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901015912 Issued in MI

Practice address

3058 Metropolitan Pkwy
Suite 106
Sterling Heights, MI 48310-3671

Phone

(586) 979-0600

Fax

(586) 979-8209

NPI assigned

Nov 17, 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

Medicare fee-for-service enrollment

Enrolled in MI

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

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396818159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3058 METROPOLITAN PKWY",
            "address_2": "SUITE 106",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103671",
            "telephone_number": "586-979-0600",
            "fax_number": "586-979-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 METROPOLITAN PKWY",
            "address_2": "SUITE 106",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103671",
            "telephone_number": "586-979-0600",
            "fax_number": "586-979-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRY",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagannadharao Divvela, MD
• Devin Dixon
• Kristina Djelaj
• Dobra Medical Center PLLC (Dobra Primary Care & Family Medicine)
• Kathleen Marie Dobry, RN
• Elvia Doce
• Doctor One Housecall PC
• Doctors Diagnostic Center PC
• Doctors Urgent Care Sterling Heights West
• Cynthia Dodero, LPC, NCC, BCPC

• Dentist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Dentist in Michigan

• 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.