Individual provider Active NPI

Joseph Arthur Borysiak, DDS

  • General Practice Dentistry
  • Carleton, MI
National Provider Identifier
1689608689
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901013998 Issued in MI
Practice address
117 Medical Center Dr
Carleton, MI 48117-9461
Phone
(734) 654-8130
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 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 2901013998 MI Primary

Addresses

Primary practice location

117 Medical Center Dr
Carleton, MI 48117-9461

Mailing address

117 Medical Center Dr
Carleton, MI 48117-9461
Phone (734) 654-8130

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
I20160302000556 MI Order and Referring Only - DentistPractitioner - Dentist 7719282698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901013998MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carleton Dental Care General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1689608689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MEDICAL CENTER DR",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179461",
            "telephone_number": "734-654-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MEDICAL CENTER DR",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179461",
            "telephone_number": "734-654-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORYSIAK",
        "first_name": "JOSEPH",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carleton, MI

Sources for this page

Verify at the official NPI Registry.