Dearborn Family Clinic, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

HW007561 Issued in MI

Legal business name

DEARBORN FAMILY CLINIC, P.C.

Practice address

3133 S Telegraph Rd
Dearborn, MI 48124-3472

Phone

(313) 565-6566

Fax

(313) 561-5554

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Claudia S Shannon

Title

Office Manager

Phone

(313) 565-6566

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCBJAD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard M Wright, D.O.

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1952390957
  Medicare reassignment NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665878400000",
    "number": "1013928035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 S TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243472",
            "telephone_number": "313-565-6566",
            "fax_number": "313-561-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 S TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243472",
            "telephone_number": "313-565-6566",
            "fax_number": "313-561-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN FAMILY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-565-6566",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "HW007561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4622742",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1387925",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dearborn Community Pharmacy LLC
• Dearborn Dental Care
• Dearborn Dental Group PC
• Dearborn Dental Group West
• Dearborn Ear Nose and Throat Clinic
• Dearborn Family Dental LLC
• Dearborn Family Dentistry PC
• Dearborn Family Pharmacy
• Dearborn Family Pharmacy LLC
• Dearborn Family Smiles PLLC

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.