Active NPI
Dana Marie Obey, LDT
- Dental Therapist
- Brimley, MI
National Provider Identifier
1730069733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- 2904000016
- Practice address
- 12455 W Lakeshore Dr
Brimley, MI 49715-9403 - Phone
- (906) 248-5527
- NPI assigned
- Sep 3, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2904000016 | MI | MD | Dental Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | 2904000016 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12455 W Lakeshore Dr
Brimley, MI 49715-9403
Mailing address
12390 W Crane Rd
Brimley, MI 49715-9044
Phone (906) 248-5527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2025.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1730069733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12390 W CRANE RD",
"city": "BRIMLEY",
"state": "MI",
"postal_code": "497159044",
"telephone_number": "906-248-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12455 W LAKESHORE DR",
"city": "BRIMLEY",
"state": "MI",
"postal_code": "497159403",
"telephone_number": "906-248-5527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBEY",
"first_name": "DANA",
"middle_name": "MARIE",
"credential": "LDT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "MI",
"license": "2904000016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brimley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.