Douglas J Kardynal PC

Primary specialty

DentistTaxonomy code 122300000X

License

2901017281 Issued in MI

Legal business name

DOUGLAS J KARDYNAL PC

Practice address

4098 17 Mile Rd
Sterling Heights, MI 48310-6836

Phone

(586) 978-0015

Fax

(586) 268-1660

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Douglas Jerome Kardynal, DDSNPI 1780758300

Title

Owner Dentist

Phone

(586) 978-0015

Specialties & licenses 1

Addresses

Other names 1

• Douglas J Kardynal DDS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas J Kardynal, DDS

  • Dentist
  • Sterling Heights, MI
  • NPI 1780758300
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497873558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4098 17 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106836",
            "telephone_number": "586-978-0015",
            "fax_number": "586-268-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4098 17 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106836",
            "telephone_number": "586-978-0015",
            "fax_number": "586-268-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J KARDYNAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARDYNAL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "586-978-0015",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas J Kardynal DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Marie Dorband, LPTA
• Gabrielle Dorchak
• Shantique Dortch
• Apurva N Doshi, BS PHARMACY
• Shelley Doshi
• Douglas W. Koenke, D.D.S.
• Jessica Dowda, MD
• Caitlyn Downer
• Katherine Doyle, D.O.
• Victoria Grace Doyle

• 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 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.