Michael R Dorociak DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11060 Issued in FL

Legal business name

MICHAEL R DOROCIAK DDS PA

Practice address

3900 Clark Rd
Ste J5
Sarasota, FL 34233-2367

Phone

(941) 924-1100

Fax

(941) 924-6527

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Knowlton

Title

Insurance Coordinator

Phone

(941) 924-1100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael Richard Dorociak, DDS

  • General Practice Dentistry
  • Sarasota, FL
  • NPI 1275663270
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1508313198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "STE J5",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332367",
            "telephone_number": "941-924-1100",
            "fax_number": "941-924-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "STE J5",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332367",
            "telephone_number": "941-924-1100",
            "fax_number": "941-924-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R DOROCIAK DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "KNOWLTON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "941-924-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.