Active NPI
John Albert Anible II, D.D.S.
- Dentist
- Dowagiac, MI
National Provider Identifier
1982051868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901021839
- Practice address
- 302 S Front St
Dowagiac, MI 49047-1740 - Phone
- (269) 782-0064
- Fax
- (269) 621-2725
- NPI assigned
- May 19, 2016
- Last updated
- May 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 2901021839 | MI | Primary |
Addresses
Primary practice location
302 S Front St
Dowagiac, MI 49047-1740
Mailing address
140 S Front St
Apartment a
Dowagiac, MI 49047-1460
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 |
|---|---|---|---|---|
| I20160622000423 | MI | Order and Referring Only - Dentist | 5294026241 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021839 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1982051868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 S FRONT ST",
"address_2": "APARTMENT A",
"city": "DOWAGIAC",
"state": "MI",
"postal_code": "490471460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S FRONT ST",
"city": "DOWAGIAC",
"state": "MI",
"postal_code": "490471740",
"telephone_number": "269-782-0064",
"fax_number": "269-621-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANIBLE",
"first_name": "JOHN",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-19",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901021839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dowagiac, MI
- Advanced Chiropractic of Dowagiac (Health Source of Dowagiac)
- Syed Aftab
- S M Masroor Afzal
- Alan K Montgomery OD
- Lisa D Andersen, LPN
- Apex Drug Stores Inc (Rite Aid Pharmacy 04401)
- Ascension Borgess Lee Hospital (Borgess Lee Medical Group)
- Ascension Borgess Lee Hospital (Borgess Lee Memorial Hospital)
- Ascension Borgess Lee Hospital
- Ascension Borgess Lee Hospital (AMG BLMG General Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.