Individual provider Active NPI

David P Fucinari, DDS

  • General Practice Dentistry
  • Ubly, MI
National Provider Identifier
1851508592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D13604 Issued in MI
Practice address
2228 Main St
Ubly, MI 48475
Phone
(989) 658-8581
Fax
(989) 658-2311
NPI assigned
May 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 D13604 MI Primary

Addresses

Primary practice location

2228 Main St
Ubly, MI 48475

Mailing address

84 Scott Road
Bad Axe, MI 48413
Phone (989) 269-2247

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 4, 2015 through Nov 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13604MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ubly Family Dentistry, PLLC PastSince May 28, 2023 Accepting new patients

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851508592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SCOTT ROAD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "48413",
            "telephone_number": "989-269-2247",
            "fax_number": "989-658-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 MAIN ST",
            "city": "UBLY",
            "state": "MI",
            "postal_code": "48475",
            "telephone_number": "989-658-8581",
            "fax_number": "989-658-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCINARI",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "D13604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ubly, MI

Sources for this page

Verify at the official NPI Registry.