NPIMap

Organization Active NPI

Martin J Borrok DMD PC

Doing business as M J Borrok DMD PC

  • Clinic/Center
  • Kirksville, MO
National Provider Identifier
1417011180
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11521 Issued in MO
Legal business name
MARTIN J BORROK DMD PC
Doing business as
M J Borrok DMD PC
Practice address
705 E Laharpe St
Kirksville, MO 63501-4526
Phone
(660) 665-9279
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Martin Borrok, DDS,DMD
Title
Owner
Phone
(660) 665-9279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11521 MO Primary

Addresses

Primary practice location

705 E Laharpe St
Kirksville, MO 63501-4526

Mailing address

PO Box 723
Kirksville, MO 63501-0723
Phone (660) 665-9279

Other names 1

  • M J Borrok DMD PC Doing business as

National Provider Directory

National Provider Directory

Locations

705 E Laharpe St
Kirksville, MO 63501
Phone (314) 282-3974

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1417011180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635010723",
            "telephone_number": "660-665-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E LAHARPE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014526",
            "telephone_number": "660-665-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN J BORROK DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BORROK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-665-9279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "11521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M J Borrok DMD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.