Individual provider Active NPI

Paul T. Orley, DDS

  • General Practice Dentistry
  • Kalamazoo, MI
National Provider Identifier
1730268160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019072 Issued in MI
Practice address
2410 E G Ave
Kalamazoo, MI 49004-1943
Phone
(269) 349-7393
NPI assigned
Nov 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901019072 MI Primary

Addresses

Primary practice location

2410 E G Ave
Kalamazoo, MI 49004-1943

Mailing address

27551 Birmingham CT
Paw Paw, MI 49079-8544
Phone (269) 599-5753

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160218001815 MI Order and Referring Only - DentistPractitioner - Dentist 2062717648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730268160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27551 BIRMINGHAM CT",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490798544",
            "telephone_number": "269-599-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 E G AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490041943",
            "telephone_number": "269-349-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLEY",
        "first_name": "PAUL",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.