Individual provider Active NPI

Nadine Kobty, D.D.S.

  • Dentist
  • Cadillac, MI
National Provider Identifier
1700935038
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18146 Issued in MI
Practice address
7800 US Highway 131 S
Cadillac, MI 49601-8437
Phone
(231) 775-9797
Fax
(231) 775-9793
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18146 MI Primary

Addresses

Primary practice location

7800 US Highway 131 S
Cadillac, MI 49601-8437

Mailing address

7800 US Highway 131 S
P.O. Box 889
Cadillac, MI 49601-8437
Phone (231) 775-9797

Other identifiers 1

IdentifierTypeStateIssuer
124993562MedicaidMI

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
I20150611001765 MI Order and Referring Only - DentistPractitioner - Dentist 9032430376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18146MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1700935038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 US HIGHWAY 131 S",
            "address_2": "P.O. BOX 889",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018437",
            "telephone_number": "231-775-9797",
            "fax_number": "231-775-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 US HIGHWAY 131 S",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018437",
            "telephone_number": "231-775-9797",
            "fax_number": "231-775-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBTY",
        "first_name": "NADINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "18146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124993562",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.