NPIMap

Organization Active NPI

Donn G. Kipka, Jr., D.D.S., P.C.

  • General Practice Dentistry
  • Marquette, MI
National Provider Identifier
1447477666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901010445 Issued in MI
Legal business name
DONN G. KIPKA, JR., D.D.S., P.C.
Practice address
1010 N 3Rd St
Marquette, MI 49855-3510
Phone
(906) 228-7087
Fax
(906) 226-2087
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donn G. Kipka Jr., D.D.S.NPI 1821199670
Title
President
Phone
(906) 228-7087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901010445 MI Primary

Addresses

Primary practice location

1010 N 3Rd St
Marquette, MI 49855-3510

Mailing address

1010 N 3Rd St
Marquette, MI 49855-3510
Phone (906) 228-7087

National Provider Directory

National Provider Directory

Locations

1010 N 3rd St
Marquette, MI 49855
Phone (906) 228-7087

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447477666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553510",
            "telephone_number": "906-228-7087",
            "fax_number": "906-226-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553510",
            "telephone_number": "906-228-7087",
            "fax_number": "906-226-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONN G. KIPKA, JR., D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIPKA",
        "authorized_official_first_name": "DONN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-228-7087",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.