NPIMap

Organization Active NPI

Brian J Donlon D D S P C

  • Dentist
  • Utica, MI
National Provider Identifier
1770701286
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
AD5435309 Issued in MI
Legal business name
BRIAN J DONLON D D S P C
Practice address
44710 Van Dyke Ave
Utica, MI 48317-5482
Phone
(586) 739-0550
NPI assigned
Apr 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Brian DonlonNPI 1669698346
Title
Dentist
Phone
(586) 739-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X AD5435309 MI Primary

Addresses

Primary practice location

44710 Van Dyke Ave
Utica, MI 48317-5482

Mailing address

44710 Van Dyke Ave
Utica, MI 48317-5482
Phone (586) 739-0550

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1770701286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44710 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175482",
            "telephone_number": "586-739-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44710 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175482",
            "telephone_number": "586-739-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J DONLON D D S P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "DONLON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-739-0550",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "AD5435309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.