Jonathan Dzingle, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

2901022172 Issued in MI

Practice address

414 Petoskey St
Petoskey, MI 49770-2618

Phone

(231) 347-4145

NPI assigned

Jul 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jonathan Dzingle Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Petoskey, MI
  • NPI 1104534916
  NPD Authorized official
• Raymond P. Howe, D.D.S., M.S., P.C

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chelsea, MI
  • NPI 1609094994
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671321600000",
    "number": "1689080392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PETOSKEY ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702618",
            "telephone_number": "989-400-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PETOSKEY ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702618",
            "telephone_number": "231-347-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZINGLE",
        "first_name": "JONATHAN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie L Ducastel, CNP
• Dallas D Dudley
• Marcy S Durie, N.P.-C
• David Durst, CCAR
• David Kenneth Dziak, ABOC/NCLEC
• Donald Scott Eaton, D.D.S.
• Dawn Ebersole, FNP-BC
• Ecs Northern Michigan PC
• Joseph Gordon Edelson, MD
• Lance Edgerton, FNP-C

• Dentist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.