Active NPI
Edward R. Essayan DDS, PC (Professional Corporation)
- Dentist
- West Bloomfield, MI
National Provider Identifier
1063740108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901009679
- Legal business name
- EDWARD R. ESSAYAN DDS, PC (PROFESSIONAL CORPORATION)
- Practice address
- 6161 Orchard Lake Rd
Suite 200
West Bloomfield, MI 48322-2384 - Phone
- (248) 851-3767
- Fax
- (248) 865-9455
- NPI assigned
- Dec 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward R. Essayan, DDS - ORTHODONTIST
- Title
- DDS - Orthodontist - President
- Phone
- (248) 851-3767
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901009679 | MI | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901009679 | MI |
Addresses
Primary practice location
6161 Orchard Lake Rd
Suite 200
West Bloomfield, MI 48322-2384
Mailing address
6161 Orchard Lake Rd
Suite 200
West Bloomfield, MI 48322-2384
Phone (248) 851-3767
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259625600000",
"number": "1063740108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6161 ORCHARD LAKE RD",
"address_2": "SUITE 200",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222384",
"telephone_number": "248-851-3767",
"fax_number": "248-865-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 ORCHARD LAKE RD",
"address_2": "SUITE 200",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222384",
"telephone_number": "248-851-3767",
"fax_number": "248-865-9455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD R. ESSAYAN DDS, PC (PROFESSIONAL CORPORATION)",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A",
"authorized_official_last_name": "ESSAYAN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "DDS - ORTHODONTIST - PRESIDENT",
"authorized_official_telephone_number": "248-851-3767",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS - ORTHODONTIST"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "MI",
"license": "2901009679",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901009679",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.