Individual provider Active NPI

John Paul Zablocki, DDS

  • General Practice Dentistry
  • White Lake, MI
National Provider Identifier
1619042348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901013384 Issued in MI
Practice address
John P Zablocki DDS
9178 Highland Rd #3
White Lake, MI 48386
Phone
(248) 698-9444
Fax
(248) 698-9322
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901013384 MI Primary

Addresses

Primary practice location

John P Zablocki DDS
9178 Highland Rd #3
White Lake, MI 48386

Mailing address

John P Zablocki DDS
9178 Highland Rd #3
White Lake, MI 48386
Phone (248) 698-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901013384MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619042348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOHN P ZABLOCKI DDS",
            "address_2": "9178 HIGHLAND RD #3",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "48386",
            "telephone_number": "248-698-9444",
            "fax_number": "248-698-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN P ZABLOCKI DDS",
            "address_2": "9178 HIGHLAND RD #3",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "48386",
            "telephone_number": "248-698-9444",
            "fax_number": "248-698-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABLOCKI",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Lake, MI

Sources for this page

  • 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.