Organization Active NPI

Barry M. Doren, D.D.S., P.C.

  • Dental Clinic/Center
  • Lansing, MI
National Provider Identifier
1790875003
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
11031 Issued in MI
Legal business name
BARRY M. DOREN, D.D.S., P.C.
Practice address
5001 W St Joe Hwy
Lansing, MI 48917-4023
Phone
(517) 321-3538
NPI assigned
Oct 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barry M. Doren, D.D.S.
Title
President
Phone
(517) 321-3538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 11031 MI Primary

Addresses

Primary practice location

5001 W St Joe Hwy
Lansing, MI 48917-4023

Mailing address

5001 W St Joe Hwy
Lansing, MI 48917-4023
Phone (517) 321-3538

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790875003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174023",
            "telephone_number": "517-321-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174023",
            "telephone_number": "517-321-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY M. DOREN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOREN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-321-3538",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "11031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.