Individual provider Active NPI

John Lewis Sinclair Jr., D.D.S.

  • Dentist
  • Kalamazoo, MI
National Provider Identifier
1861678906
Registry record updated Jan 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
012589 Issued in MI
Practice address
1900 Whites Rd
Suite 4
Kalamazoo, MI 49008-2872
Phone
(269) 344-2652
Fax
(269) 344-8002
NPI assigned
Jan 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 012589 MI Primary

Addresses

Primary practice location

1900 Whites Rd
Suite 4
Kalamazoo, MI 49008-2872

Mailing address

1900 Whites Rd
Suite 4
Kalamazoo, MI 49008-2872
Phone (269) 344-2652

Other names 1

  • Dr. John Lewis Sinclair Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316000445 MI Order and Referring Only - DentistPractitioner - Dentist 8729384896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012589MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
John L. Sinclair Jr. DDS, PC Dentist CurrentSince Sep 5, 2023 Accepting new patients

Locations

1900 Whites Rd
Ste 4
Kalamazoo, MI 49008
Phone (269) 344-2652

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200700800000",
    "number": "1861678906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WHITES RD",
            "address_2": "SUITE 4",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082872",
            "telephone_number": "269-344-2652",
            "fax_number": "269-344-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WHITES RD",
            "address_2": "SUITE 4",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082872",
            "telephone_number": "269-344-2652",
            "fax_number": "269-344-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "JOHN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-19",
        "last_updated": "2008-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "012589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "SINCLAIR",
            "middle_name": "LEWIS",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.