Individual provider Active NPI

Nicole Anne Urbanick, DDS

  • Dentist
  • Trenton, MI
National Provider Identifier
1033960562
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601998 Issued in MI
Practice address
1680 Kingsway CT Ste 2
Trenton, MI 48183-1957
Phone
(734) 676-5656
NPI assigned
Apr 1, 2024
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601998 MI Primary

Addresses

Primary practice location

1680 Kingsway CT Ste 2
Trenton, MI 48183-1957

Mailing address

24311 Rivard CT
Grosse Ile, MI 48138-2214
Phone (734) 308-4764

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
2901601998MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Murphy DDS CurrentSince Apr 9, 2024 Accepting new patients

Locations

1680 Kingsway Ct
Ste 2
Trenton, MI 48183
Phone (734) 676-5656

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1033960562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24311 RIVARD CT",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382214",
            "telephone_number": "734-308-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 KINGSWAY CT STE 2",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831957",
            "telephone_number": "734-676-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANICK",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.