Organization Active NPI

Michelle R Conforti

Doing business as Gateway Dental Care

  • Dentist
  • South Lyon, MI
National Provider Identifier
1053922468
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MICHELLE R CONFORTI
Doing business as
Gateway Dental Care
Practice address
25660 Pontiac TRL
South Lyon, MI 48178-8046
Phone
(248) 446-2700
Fax
(248) 446-2880
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Dr. Michelle R. Conforti, DDSNPI 1598739153
Title
Owner/Doctor
Phone
(248) 446-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

25660 Pontiac TRL
South Lyon, MI 48178-8046

Mailing address

25660 Pontiac TRL
South Lyon, MI 48178-8046
Phone (248) 446-2700

Other names 1

  • Gateway Dental Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gatewaydentalcare-southlyon@securedds.com

National Provider Directory

National Provider Directory

Locations

25660 Pontiac Trl
South Lyon, MI 48178
Phone (248) 446-2700

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1053922468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25660 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788046",
            "telephone_number": "248-446-2700",
            "fax_number": "248-446-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25660 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788046",
            "telephone_number": "248-446-2700",
            "fax_number": "248-446-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE R CONFORTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "CONFORTI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "248-446-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gatewaydentalcare-southlyon@securedds.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "address_1": "25660 Pontiac Trl",
            "city": "South Lyon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481788046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gateway Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.