Organization Active NPI

St. Joseph Dental Associates, PC

  • Dentist
  • Lansing, MI
National Provider Identifier
1679746614
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11335 Issued in MI
Legal business name
ST. JOSEPH DENTAL ASSOCIATES, PC
Practice address
4912 W St Joe Hwy
Lansing, MI 48917-4090
Phone
(517) 886-1100
Fax
(517) 327-1071
NPI assigned
Apr 10, 2008
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Dr. Gary Thomas Oryszczak, D.D.S
Title
Dentist
Phone
(517) 886-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11335 MI Primary

Addresses

Primary practice location

4912 W St Joe Hwy
Lansing, MI 48917-4090

Mailing address

4912 W St Joe Hwy
Lansing, MI 48917-4090
Phone (517) 886-1100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1679746614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174090",
            "telephone_number": "517-886-1100",
            "fax_number": "517-327-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174090",
            "telephone_number": "517-886-1100",
            "fax_number": "517-327-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "ORYSZCZAK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "517-886-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "11335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.