Organization Active NPI

Birmingham Dental

  • Dentist
  • Birmingham, MI
National Provider Identifier
1013614882
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BIRMINGHAM DENTAL
Practice address
2151 E 14 Mile Rd
Birmingham, MI 48009-7260
Phone
(248) 645-2710
Fax
(248) 645-5283
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Juley Budny
Title
Office Coordinator
Phone
(248) 645-2710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

2151 E 14 Mile Rd
Birmingham, MI 48009-7260

Mailing address

2151 E 14 Mile Rd
Birmingham, MI 48009-7260
Phone (248) 645-2710

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1013614882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 E 14 MILE RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097260",
            "telephone_number": "248-645-2710",
            "fax_number": "248-645-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 E 14 MILE RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097260",
            "telephone_number": "248-645-2710",
            "fax_number": "248-645-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "BUDNY",
        "authorized_official_first_name": "JULEY",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "248-645-2710"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.