Organization Active NPI

BDD of Michigan P.C.

  • Dentist
  • Traverse City, MI
National Provider Identifier
1992476964
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BDD OF MICHIGAN P.C.
Practice address
2815 Garfield Rd N
Traverse City, MI 49686-5005
Phone
(231) 947-4380
NPI assigned
Sep 21, 2021
Organization subpart
Yes
Parent organization
BDD OF MICHIGAN P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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

Authorized official

Name
Jay Jorbin
Title
Cfo
Phone
(312) 805-8590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2815 Garfield Rd N
Traverse City, MI 49686-5005

Mailing address

333 W 1St St
Elmhurst, IL 60126-2641
Phone (312) 805-8590

Other names 1

  • Garfield Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BDD of Michigan PC4 organizations share this tax ID, including this one
Part of
BDD of Michigan PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2815 Garfield Rd N
Traverse City, MI 49686
Phone (231) 947-3144

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776556800000",
    "number": "1992476964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W 1ST ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262641",
            "telephone_number": "312-805-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 GARFIELD RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865005",
            "telephone_number": "231-947-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDD OF MICHIGAN P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BDD OF MICHIGAN P.C.",
        "enumeration_date": "2021-09-21",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A",
        "authorized_official_last_name": "JORBIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-805-8590"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garfield Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Garfield Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.