NPIMap

Organization Active NPI

Jan M Rizzo DDS PC

  • Dental Clinic/Center
  • Clinton, MI
National Provider Identifier
1720125842
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
13099 Issued in MI
Legal business name
JAN M RIZZO DDS PC
Practice address
147 West Michigan Avenue
Clinton, MI 49236
Phone
(517) 456-7471
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jan Michael Rizzo, DDSNPI 1689613895
Title
Owner
Phone
(517) 456-7471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 13099 MI Primary

Addresses

Primary practice location

147 West Michigan Avenue
Clinton, MI 49236

Mailing address

147 West Michigan Avenue
P.O. Box 349
Clinton, MI 49236
Phone (517) 456-7471

National Provider Directory

National Provider Directory

Locations

147 W Michigan Ave
Clinton, MI 49236
Phone (517) 456-7471

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720125842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 WEST MICHIGAN AVENUE",
            "address_2": "P.O. BOX 349",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "49236",
            "telephone_number": "517-456-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 WEST MICHIGAN AVENUE",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "49236",
            "telephone_number": "517-456-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN M RIZZO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIZZO",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-456-7471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "13099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.