NPIMap

Organization Active NPI

DCM Dentistry, PLC

  • General Practice Dentistry
  • Fenton, MI
National Provider Identifier
1003416140
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DCM DENTISTRY, PLC
Practice address
1535 N Leroy St Ste F
Fenton, MI 48430-2791
Phone
(810) 629-5454
NPI assigned
Oct 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Lisa Diane Baier, DDSNPI 1386904050
Title
Dentist
Phone
(810) 444-6069

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1535 N Leroy St Ste F
Fenton, MI 48430-2791

Mailing address

213 W Rockwell St
Fenton, MI 48430-2078
Phone (810) 444-6069

Other names 1

  • Fenton Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1003416140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W ROCKWELL ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302078",
            "telephone_number": "810-444-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N LEROY ST STE F",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302791",
            "telephone_number": "810-629-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCM DENTISTRY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "BAIER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "810-444-6069",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fenton Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.