Northstar Family Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NORTHSTAR FAMILY DENTISTRY PLLC

Practice address

64845 Van Dyke Rd Ste 3
Washington, MI 48095-2836

Phone

(586) 752-6596

Fax

(586) 752-5471

NPI assigned

Mar 3, 2017

Last updated

Apr 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Faith Maryam Aboona, DDSNPI 1336404979

Title

Provider/Owner

Phone

(586) 752-6596

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

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.

• Faith M Aboona, DDS

  • Dentist
  • Washington, MI
  • NPI 1336404979
  Medicare reassignment NPD Authorized official
• Taryn Lee Gladwish, D.D.S

  • General Practice Dentistry
  • Washington, MI
  • NPI 1427678283
  Medicare reassignment NPD
• Gabrielle Malette, DDS

  • General Practice Dentistry
  • Washington, MI
  • NPI 1235782616
  Medicare reassignment NPD
• Amber Aboona

  • General Practice Dentistry
  • Washington, MI
  • NPI 1518698885
  NPD (past)
• Spencer Kellett Owen, DDS

  • General Practice Dentistry
  • Washington, MI
  • NPI 1902539869
  NPD (past)
• Nadien Sana

  • General Practice Dentistry
  • Washington, MI
  • NPI 1841075959
  NPD (past)

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1033659503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64845 VAN DYKE RD STE 3",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952836",
            "telephone_number": "586-752-6596",
            "fax_number": "586-752-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64845 VAN DYKE RD STE 3",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952836",
            "telephone_number": "586-752-6596",
            "fax_number": "586-752-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "ABOONA",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "MARYAM",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "586-752-6596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Mary Motrinc, LMSW
• Nicolina Marie-Mannino Nagle
• North Macomb Chiropractic PC (Sarver Chiropractic PC)
• North Macomb Chiropractic PC (Sarver Chiropractic PC)
• North Macomb Internal Medicine, PC
• Nxtgen Physical Therapy and Performance PLLC
• Orchards for Urgent Care (Orchards of Washington Urgent Care, PLLC)
• Spencer Kellett Owen, DDS
• Paccsa, L.L.C.
• Megan Dawn Parslow, NP-C

• Dentist in Washington, MI
• Providers in Washington, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.