Individual provider Active NPI

Jacob Steiger, DDS, MS

  • Periodontics
  • Farmington Hills, MI
National Provider Identifier
1013060052
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901018621 Issued in MI
Practice address
33505 W 14 Mile Rd Ste 70
Farmington Hills, MI 48331-1588
Phone
(248) 851-1034
NPI assigned
Jan 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018621 MI
Periodontics 1223P0300X 2901018621 MI Primary

Addresses

Primary practice location

33505 W 14 Mile Rd Ste 70
Farmington Hills, MI 48331-1588

Mailing address

23284 Plumbrooke Dr
Southfield, MI 48075-3246
Phone (248) 352-4268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171212001224 MI Order and Referring Only - DentistPractitioner - Dentist 7517042419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901018621MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Periodontic and Implantology Specialists PLLC Periodontics CurrentSince Apr 6, 2021 Accepting new patients
Dermatology Institute of Detroit PLLC PastSince Jul 1, 2023 Accepting new patients
Periodontic PLLC Periodontics Past Accepting new patients
Periodontic PLLC Periodontics Past Accepting new patients

Locations

33505 W 14 Mile Rd
Ste 70
Farmington Hills, MI 48331
Phone (248) 661-3300

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00414

Organizations & group practices 4

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": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1013060052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23284 PLUMBROOKE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753246",
            "telephone_number": "248-352-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33505 W 14 MILE RD STE 70",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311588",
            "telephone_number": "248-851-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIGER",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018621",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901018621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.