Organization Active NPI

Dr Susan L Doty and Dr Nicholas J Gersch DDS Ms PC

  • Periodontics
  • Flint, MI
National Provider Identifier
1649322850
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DR SUSAN L DOTY AND DR NICHOLAS J GERSCH DDS MS PC
Practice address
5051 W Bristol Rd
Flint, MI 48507-2922
Phone
(810) 733-3770
Fax
(810) 733-7559
NPI assigned
Jan 17, 2007
Last updated
Apr 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Susan L Doty, DDS MSNPI 1598817793
Title
President
Phone
(810) 733-3770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

5051 W Bristol Rd
Flint, MI 48507-2922

Mailing address

5051 W Bristol Rd
Flint, MI 48507-2922
Phone (810) 733-3770

National Provider Directory

National Provider Directory

Locations

5051 W Bristol Rd
Flint, MI 48507
Phone (810) 732-5730

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1649322850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072922",
            "telephone_number": "810-733-3770",
            "fax_number": "810-733-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072922",
            "telephone_number": "810-733-3770",
            "fax_number": "810-733-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUSAN L DOTY AND DR NICHOLAS J GERSCH DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-733-3770",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.