Organization Active NPI

John a. Dobry DDS LLC

  • General Practice Dentistry
  • Clinton TWP, MI
National Provider Identifier
1497813166
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN A. DOBRY DDS LLC
Practice address
15870 19 Mile Rd
Suite 160
Clinton TWP, MI 48038-3527
Phone
(586) 286-0790
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. John Anthony Dobry, D.D.S.
Title
Owner
Phone
(586) 286-0790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15870 19 Mile Rd
Suite 160
Clinton TWP, MI 48038-3527

Mailing address

15870 19 Mile Rd
Suite 160
Clinton TWP, MI 48038-3527
Phone (586) 286-0790

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1497813166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15870 19 MILE RD",
            "address_2": "SUITE 160",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383527",
            "telephone_number": "586-286-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15870 19 MILE RD",
            "address_2": "SUITE 160",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383527",
            "telephone_number": "586-286-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. DOBRY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "DOBRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-286-0790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.