Individual provider Active NPI

Maya Likavec-Witri, RDH

  • Dental Hygienist
  • Redford, MI
National Provider Identifier
1003316837
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2902018273 Issued in MI
Practice address
26750 Grand River Ave
Redford, MI 48240-1529
Phone
(313) 531-2000
NPI assigned
Feb 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2902018273 MI Primary

Addresses

Primary practice location

26750 Grand River Ave
Redford, MI 48240-1529

Mailing address

30921 Lee Frank LN
Madison Heights, MI 48071-2243
Phone (989) 400-0123

Other names 1

  • Maya Likavec Former name

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

State licenses

LicenseStateTypeSpecialty
2902018273MIMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Ji S Kim DDS PLLC Past Accepting new patients
Smiles Dental Center, P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1003316837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30921 LEE FRANK LN",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712243",
            "telephone_number": "989-400-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26750 GRAND RIVER AVE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401529",
            "telephone_number": "313-531-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKAVEC-WITRI",
        "first_name": "MAYA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902018273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "LIKAVEC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.