Individual provider Active NPI

Dana Marie Obey, LDT

  • Dental Therapist
  • Brimley, MI
National Provider Identifier
1730069733
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental TherapistTaxonomy code 125J00000X
License
2904000016 Issued in MI
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

LicenseStateTypeSpecialty
2904000016MIMDDental Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Therapist 125J00000X 2904000016 MI Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.