Active NPI
Robert Joseph D Amour, DDS
- General Practice Dentistry
- Kingsford, MI
National Provider Identifier
1619072279
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Mar 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14520 MI
- Practice address
- 1075 Woodward Ave
Suite a
Kingsford, MI 49802 - Phone
- (906) 774-0220
- Fax
- (906) 774-1314
- NPI assigned
- Sep 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14520 MI | MI | Primary |
Addresses
Primary practice location
1075 Woodward Ave
Suite a
Kingsford, MI 49802
Mailing address
1075 Woodward Ave
Suite a
Kingsford, MI 49802
Phone (906) 774-0220
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14520 MI | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619072279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 WOODWARD AVE",
"address_2": "SUITE A",
"city": "KINGSFORD",
"state": "MI",
"postal_code": "49802",
"telephone_number": "906-774-0220",
"fax_number": "906-774-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 WOODWARD AVE",
"address_2": "SUITE A",
"city": "KINGSFORD",
"state": "MI",
"postal_code": "49802",
"telephone_number": "906-774-0220",
"fax_number": "906-774-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D AMOUR",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "14520 MI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsford, MI
- Fernando Chavarria
- Ashley Chouinard
- Community Substance Abuse Services, Inc.
- Community Substance Abuse Services, Inc.
- Corrina Chiropractic PLLC
- Taya Dehling, SST
- Jessica Frances Deroche, LLBSW
- Rebecca Ann Dessellier
- Dickinson County Healthcare System
- Dickinson County Healthcare System (Dickinson-Marquette Medical Center)
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.