Organization Active NPI

Christopher J. Manduzzi DDS PC

  • General Practice Dentistry
  • Utica, MI
National Provider Identifier
1013259910
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019988 Issued in MI
Legal business name
CHRISTOPHER J. MANDUZZI DDS PC
Practice address
7811 Summers St
Utica, MI 48317-5559
Phone
(586) 731-9240
Fax
(586) 731-4688
NPI assigned
Mar 19, 2013
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. Christopher Manduzzi, D.D.S.NPI 1922239433
Title
President
Phone
(248) 227-5369

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 Dentistry 1223G0001X 2901019988 MI Primary

Addresses

Primary practice location

7811 Summers St
Utica, MI 48317-5559

Mailing address

7811 Summers St
Utica, MI 48317-5559
Phone (586) 731-9240

National Provider Directory

National Provider Directory

Locations

7811 Summers St
Utica, MI 48317
Phone (586) 731-9240

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1013259910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 SUMMERS ST",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175559",
            "telephone_number": "586-731-9240",
            "fax_number": "586-731-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 SUMMERS ST",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175559",
            "telephone_number": "586-731-9240",
            "fax_number": "586-731-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER J. MANDUZZI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "MANDUZZI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-227-5369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.