John Gerald Okonowski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901014768 Issued in MI

Practice address

16842 Kercheval
Grosse Pointe, MI 48230

Phone

(313) 886-8220

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Grosse Pointe Village Dentistry

  • General Practice Dentistry
  • Grosse Pointe, MI
  • NPI 1871679811
  NPD (past) Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578649596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16842 KERCHEVAL",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "48230",
            "telephone_number": "313-886-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16842 KERCHEVAL",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "48230",
            "telephone_number": "313-886-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONOWSKI",
        "first_name": "JOHN",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasmac, LLC
• Kalysa Monique Nelson, RN
• Next2Kin Care LLC
• Notre Dame Pharmacy Inc
• Nuch of Michigan, Inc.
• Tracey Olds
• Mitchell Oliver, DO
• Om Health & Wellness
• Theresa M Oney, MD
• Angela Panagos, DDS

• General Practice Dentistry in Grosse Pointe, MI
• Providers in Grosse Pointe, MI by specialty
• General Practice Dentistry in Michigan

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