Jeffrey Norman Dzingle, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2901019121 Issued in MI

Practice address

146 S Industrial Dr
Saline, MI 48176-9493

Phone

(989) 772-1334

Fax

(989) 773-0904

NPI assigned

Mar 16, 2007

Last updated

Dec 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Michigan Endodontics of Grand Haven PLLC

  • Endodontics
  • Grand Haven, MI
  • NPI 1467195958
  NPD Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1730213000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 PRIMROSE LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973214",
            "telephone_number": "734-717-2686",
            "fax_number": "989-773-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S INDUSTRIAL DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769493",
            "telephone_number": "989-772-1334",
            "fax_number": "989-773-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZINGLE",
        "first_name": "JEFFREY",
        "middle_name": "NORMAN",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "MI2901019121",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901019121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE",
            "identifier": "MI2901019121",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiran Dornala, PT, DPT, MS
• Carolynn E Dougherty, LPC
• McKenna Gene Drevno
• Jessica Michelle Drews, NP
• Chelsea Kathryn Dumas, PSY.D
• Elite Counseling and Supervision
• Emma Erickson, DPT
• Evangelical Homes of Michigan (The Redies Outpatient Center)
• Evangelical Homes of Michigan (Evangelical Home - Saline)
• Ez Care, Inc.

• Endodontics in Saline, MI
• Providers in Saline, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.