Organization Active NPI

David P. Fucinari, DDS, PC

  • General Practice Dentistry
  • Ubly, MI
National Provider Identifier
1720710403
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVID P. FUCINARI, DDS, PC
Practice address
2228 E Main St
Ubly, MI 48475-9566
Phone
(989) 658-8581
NPI assigned
Jun 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Mrs. Yvonne Fucinari
Title
Co- Owner
Phone
(989) 550-9487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2228 E Main St
Ubly, MI 48475-9566

Mailing address

2228 E Main St
Ubly, MI 48475-9566
Phone (989) 658-8581

Other identifiers 1

IdentifierTypeStateIssuer
V02868MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1720710403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 E MAIN ST",
            "city": "UBLY",
            "state": "MI",
            "postal_code": "484759566",
            "telephone_number": "989-658-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 E MAIN ST",
            "city": "UBLY",
            "state": "MI",
            "postal_code": "484759566",
            "telephone_number": "989-658-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P. FUCINARI, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "FUCINARI",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "CO- OWNER",
        "authorized_official_telephone_number": "989-550-9487",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "V02868",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ubly, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.