Organization Active NPI

Michael J Delaura DDS PC

Doing business as DeLaura Dental

  • Dental Clinic/Center
  • Romeo, MI
National Provider Identifier
1013446277
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901012968 Issued in MI
Legal business name
MICHAEL J DELAURA DDS PC
Doing business as
DeLaura Dental
Practice address
410 S Main St Ste 102
Romeo, MI 48065-5233
Phone
(586) 752-2273
Fax
(586) 336-7632
NPI assigned
Jun 9, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Michael Joseph Delaura, DDSNPI 1558303446
Title
President
Phone
(586) 752-2273

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
Dental Clinic/Center 261QD0000X 2901012968 MI Primary

Addresses

Primary practice location

410 S Main St Ste 102
Romeo, MI 48065-5233

Mailing address

410 S Main St Ste 102
Romeo, MI 48065-5233
Phone (586) 752-2273

Other names 1

  • DeLaura Dental Doing business as

National Provider Directory

National Provider Directory

Locations

410 S Main St
Ste 102
Romeo, MI 48065
Phone (586) 752-2273

Practitioners & affiliated clinicians

Practitioners 2

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": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013446277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S MAIN ST STE 102",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655233",
            "telephone_number": "586-752-2273",
            "fax_number": "586-336-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MAIN ST STE 102",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655233",
            "telephone_number": "586-752-2273",
            "fax_number": "586-336-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J DELAURA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DELAURA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-752-2273",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901012968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeLaura Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Romeo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.