Active NPI
John Lewis Sinclair Jr., D.D.S.
- Dentist
- Kalamazoo, MI
National Provider Identifier
1861678906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 012589
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160316000445 | MI | Order and Referring Only - Dentist | 8729384896 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012589 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John L. Sinclair Jr. DDS, PC | Dentist | Current | 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.
-
- Dentist
- Kalamazoo, MI
- NPI 1962286674
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.