Organization Active NPI

Gregg D. Bobier, DMD, PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Rochester, MI
National Provider Identifier
1841505088
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
2901013708 Issued in MI
Legal business name
GREGG D. BOBIER, DMD, PC
Practice address
1000 W University Dr
Suite 201
Rochester, MI 48307-1873
Phone
(248) 656-8880
Fax
(248) 656-9081
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Dr. Gregg David Bobier
Title
President
Phone
(248) 656-8880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901013708 MI
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 2901013708 MI Primary

Addresses

Primary practice location

1000 W University Dr
Suite 201
Rochester, MI 48307-1873

Mailing address

1000 W University Dr
Suite 201
Rochester, MI 48307-1873
Phone (248) 656-8880

Other identifiers 3

IdentifierTypeStateIssuer
5637022OtherMIBCBSM
10-4473123MedicaidMI
12-4473099MedicaidMI

National Provider Directory

National Provider Directory

Locations

5659 Sashabaw Rd
Clarkston, MI 48346
Phone (248) 625-4492

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1841505088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR",
            "address_2": "SUITE 201",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071873",
            "telephone_number": "248-656-8880",
            "fax_number": "248-656-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR",
            "address_2": "SUITE 201",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071873",
            "telephone_number": "248-656-8880",
            "fax_number": "248-656-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG D. BOBIER, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "BOBIER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-656-8880",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901013708",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901013708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5637022",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4473123",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12-4473099",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.