Individual provider Active NPI

Brian James Zirkle, D.D.S.

  • Dentist
  • Okemos, MI
National Provider Identifier
1487055760
Registry record updated Nov 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021248 Issued in MI
Practice address
2228 W Grand River Ave
Okemos, MI 48864-1604
Phone
(517) 347-0034
Fax
(517) 347-9708
NPI assigned
Sep 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021248 MI Primary

Addresses

Primary practice location

2228 W Grand River Ave
Okemos, MI 48864-1604

Mailing address

6922 Corrigan Dr
Brighton, MI 48116-8852
Phone (517) 375-5099

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160407001453 MI Order and Referring Only - DentistPractitioner - Dentist 4688972623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021248MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Dentistry PLLC CurrentSince Feb 23, 2020 Accepting new patients
Howell Dentist, P. C. Past Accepting new patients
Steven Stilianos DDS PC Dentist Past Accepting new patients

Locations

2228 W Grand River Ave
Okemos, MI 48864
Phone (517) 347-0034

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573862400000",
    "number": "1487055760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6922 CORRIGAN DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481168852",
            "telephone_number": "517-375-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 W GRAND RIVER AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604",
            "telephone_number": "517-347-0034",
            "fax_number": "517-347-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRKLE",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-05",
        "last_updated": "2019-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.