Active NPI
Douglas McDonald Cabell, D.D.S.
- General Practice Dentistry
- Bay City, MI
National Provider Identifier
1699060285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901020459
- Practice address
- 3884 Monitor Road
Bay City, MI 48706-9298 - Phone
- (989) 671-2000
- Fax
- (989) 686-0638
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901020459 | MI | Primary |
Addresses
Primary practice location
3884 Monitor Road
Bay City, MI 48706-9298
Mailing address
501 Lapeer
Saginaw, MI 48607-1208
Phone (989) 759-6464
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002649290 | Other | MI | UNITED CONCORDIA |
| 1699060285 | Other | MI | DELTA DENTAL OF MICHIGAN |
| D801095 | Other | MI | BLUE CROSS |
| 1699060285 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020459 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1699060285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LAPEER",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486071208",
"telephone_number": "989-759-6464",
"fax_number": "989-399-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3884 MONITOR ROAD",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487069298",
"telephone_number": "989-671-2000",
"fax_number": "989-686-0638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABELL",
"first_name": "DOUGLAS",
"middle_name": "MCDONALD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901020459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "002649290",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF MICHIGAN",
"identifier": "1699060285",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "D801095",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699060285",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.