Organization Active NPI

Donald K Nanney DDS PC

  • Dentist
  • Clarkston, MI
National Provider Identifier
1568636272
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10562 Issued in MI
Legal business name
DONALD K NANNEY DDS PC
Practice address
5770 S Main St
Suite a
Clarkston, MI 48346-2982
Phone
(248) 625-5511
Fax
(248) 625-7517
NPI assigned
Apr 15, 2008
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Donald K Nanney, DDS
Title
Owner/Provider
Phone
(248) 625-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10562 MI Primary

Addresses

Primary practice location

5770 S Main St
Suite a
Clarkston, MI 48346-2982

Mailing address

5770 S Main St
Suite a
Clarkston, MI 48346-2982
Phone (248) 625-5511

National Provider Directory

National Provider Directory

Locations

5770 S Main St
Ste A
Clarkston, MI 48346
Phone (248) 625-5511

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1568636272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 S MAIN ST",
            "address_2": "SUITE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462982",
            "telephone_number": "248-625-5511",
            "fax_number": "248-625-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S MAIN ST",
            "address_2": "SUITE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462982",
            "telephone_number": "248-625-5511",
            "fax_number": "248-625-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD K NANNEY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "NANNEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "248-625-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "10562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.