Individual provider Active NPI

Robert Comini

  • General Practice Dentistry
  • Burton, MI
National Provider Identifier
1740339720
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901014391 Issued in MI
Practice address
1140 S Belsay Rd Ste a
Burton, MI 48509-1909
Phone
(810) 744-0433
Fax
(810) 744-2257
NPI assigned
Jan 9, 2007
Last updated
Jun 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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 2901014391 MI Primary

Addresses

Primary practice location

1140 S Belsay Rd Ste a
Burton, MI 48509-1909

Mailing address

1140 S Belsay Rd Ste a
P.O. Box 90459
Burton, MI 48509-1909
Phone (810) 744-0433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901014391MIMDGeneral Practice Dentistry

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1740339720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S BELSAY RD STE A",
            "address_2": "P.O. BOX 90459",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091909",
            "telephone_number": "810-744-0433",
            "fax_number": "810-744-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S BELSAY RD STE A",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091909",
            "telephone_number": "810-744-0433",
            "fax_number": "810-744-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMINI",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.