Active NPI
Julian Luis Acosta, DDS
- Dentist
- Saginaw, MI
National Provider Identifier
1699517888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901602239
- Practice address
- 4170 State St
Saginaw, MI 48603-4025 - Phone
- (989) 272-4253
- NPI assigned
- Jun 10, 2024
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901602239 | MI | Primary |
Addresses
Primary practice location
4170 State St
Saginaw, MI 48603-4025
Mailing address
4170 State St
Saginaw, MI 48603-4025
Phone (989) 272-4253
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 |
|---|---|---|---|
| 2901602239 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1699517888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4170 STATE ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486034025",
"telephone_number": "989-272-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4170 STATE ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486034025",
"telephone_number": "989-272-4253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "JULIAN",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901602239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.