NPIMap

Organization Active NPI

Advance Dental Care, P.C.

  • General Practice Dentistry
  • Flint, MI
National Provider Identifier
1043480254
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14588 Issued in MI
Legal business name
ADVANCE DENTAL CARE, P.C.
Practice address
3710 Davison Rd
Flint, MI 48506-4206
Phone
(810) 742-6600
Fax
(810) 742-5075
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Thomas J. Nivison, D.D.S.
Title
President
Phone
(810) 742-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14588 MI Primary

Addresses

Primary practice location

3710 Davison Rd
Flint, MI 48506-4206

Mailing address

PO Box 90539
Burton, MI 48509-0539
Phone (810) 742-6600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1043480254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90539",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485090539",
            "telephone_number": "810-742-6600",
            "fax_number": "810-742-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 DAVISON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485064206",
            "telephone_number": "810-742-6600",
            "fax_number": "810-742-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "NIVISON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-742-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.