Organization Active NPI

Matthew W. Nakfoor, DDS, PC

  • Endodontics
  • Saline, MI
National Provider Identifier
1003947185
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
18343 Issued in MI
Legal business name
MATTHEW W. NAKFOOR, DDS, PC
Practice address
203 W Michigan Ave
#204
Saline, MI 48176-1329
Phone
(734) 429-3850
Fax
(734) 429-0502
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew W Nakfoor, DDS
Title
Owner
Phone
(734) 429-3850

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 18343 MI Primary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 18794 MI
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 30.022260 OH
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 30.022259 OH

Addresses

Primary practice location

203 W Michigan Ave
#204
Saline, MI 48176-1329

Mailing address

203 W Michigan Ave
#204
Saline, MI 48176-1329
Phone (734) 429-3850

Other names 1

  • Huron Valley Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

203 W Michigan Ave
Ste 204
Saline, MI 48176
Phone (734) 221-3619

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003947185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W MICHIGAN AVE",
            "address_2": "#204",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761329",
            "telephone_number": "734-429-3850",
            "fax_number": "734-429-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MICHIGAN AVE",
            "address_2": "#204",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761329",
            "telephone_number": "734-429-3850",
            "fax_number": "734-429-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW W. NAKFOOR, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAKFOOR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-429-3850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "18343",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "18794",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30.022260",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30.022259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huron Valley Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saline, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.