Organization Active NPI

Arvind Gulati DDS PC

Doing business as Novi Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Novi, MI
National Provider Identifier
1003097650
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
16996 Issued in MI
Legal business name
ARVIND GULATI DDS PC
Doing business as
Novi Oral & Maxillofacial Surgery
Practice address
23655 Novi Rd Ste 103
Novi, MI 48375-5442
Phone
(248) 348-2115
Fax
(248) 348-2595
NPI assigned
Nov 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Dr. Arvind Gulati, DDSNPI 1952397093
Title
Owner
Phone
(248) 348-2115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 16996 MI Primary

Addresses

Primary practice location

23655 Novi Rd Ste 103
Novi, MI 48375-5442

Mailing address

23655 Novi Rd Ste 103
Novi, MI 48375-5442
Phone (248) 348-2115

Other names 1

  • Novi Oral & Maxillofacial Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000563 MI Part B Supplier - Clinic/Group Practice 0345148383 Receives reassigned benefits from 1 practitioner
Practice locations: Novi, MI

National Provider Directory

National Provider Directory

Locations

23655 Novi Rd
Ste A103
Novi, MI 48375
Phone (248) 348-2115

23655 Novi Rd
Ste 103
Novi, MI 48375
Phone (248) 348-2115

23975 Novi Rd
Ste A103
Novi, MI 48375
Phone (248) 348-2115

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1003097650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23655 NOVI RD STE 103",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755442",
            "telephone_number": "248-348-2115",
            "fax_number": "248-348-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23655 NOVI RD STE 103",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755442",
            "telephone_number": "248-348-2115",
            "fax_number": "248-348-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARVIND GULATI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "GULATI",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-348-2115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "16996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novi Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novi Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.