Active NPI
Dorene Mroz
- Other Technician
- Belleville, MI
National Provider Identifier
1942752563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 111 South St Apt 1
Belleville, MI 48111-3331 - Phone
- (734) 725-8085
- NPI assigned
- Oct 31, 2016
- Last updated
- Oct 31, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | MI | Primary |
Addresses
Primary practice location
111 South St Apt 1
Belleville, MI 48111-3331
Mailing address
111 South St Apt 1
Belleville, MI 48111-3331
Phone (734) 725-8085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1942752563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SOUTH ST APT 1",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481113331",
"telephone_number": "734-725-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SOUTH ST APT 1",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481113331",
"telephone_number": "734-725-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MROZ",
"first_name": "DORENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-31",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.