Individual provider Active NPI

James Michael Jostock, D.D.S.

  • General Practice Dentistry
  • Sterling Heights, MI
National Provider Identifier
1629294780
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019329 Issued in MI
Practice address
38951 Ryan Rd
Sterling Heights, MI 48310-2990
Phone
(586) 978-8233
Fax
(586) 978-8516
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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 2901019329 MI Primary

Addresses

Primary practice location

38951 Ryan Rd
Sterling Heights, MI 48310-2990

Mailing address

5131 West Rd
Washington, MI 48094-2661
Phone (734) 347-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151229000732 MI Order and Referring Only - DentistPractitioner - Dentist 5991852667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1629294780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 WEST RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480942661",
            "telephone_number": "734-347-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38951 RYAN RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102990",
            "telephone_number": "586-978-8233",
            "fax_number": "586-978-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSTOCK",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.