Individual provider Active NPI

Aimee Beth Chisik

  • General Practice Dentistry
  • Huntington Woods, MI
National Provider Identifier
1023167103
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017604 Issued in MI
Practice address
26711 Woodward Ave
#105
Huntington Woods, MI 48070
Phone
(248) 543-3834
Fax
(248) 543-5535
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901017604 MI Primary

Addresses

Primary practice location

26711 Woodward Ave
#105
Huntington Woods, MI 48070

Mailing address

26711 Woodward Ave, #105
#105
Huntington Woods, MI 48070
Phone (248) 543-3834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901017604MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aimee B. Chisik DDS, P.C. General Practice CurrentSince Nov 12, 2023 Accepting new patients
Family Dental Group Associates PLLC PastSince Jun 1, 2011 Accepting new patients

Locations

26711 Woodward Ave
Ste 105
Huntington Woods, MI 48070
Phone (248) 543-3834

Organizations & group practices 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1023167103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE, #105",
            "address_2": "#105",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "48070",
            "telephone_number": "248-543-3834",
            "fax_number": "248-543-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE",
            "address_2": "#105",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "48070",
            "telephone_number": "248-543-3834",
            "fax_number": "248-543-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISIK",
        "first_name": "AIMEE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.