NPIMap

Organization Active NPI

Spillane and Reynolds Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Novi, MI
National Provider Identifier
1063845295
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
14748 Issued in MI
Legal business name
SPILLANE AND REYNOLDS ORTHODONTICS PLLC
Practice address
45500 W 10 Mile Rd
Novi, MI 48374-3101
Phone
(248) 344-8400
Fax
(248) 344-8183
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Dr. Lawrence Michael Spillane, D.D.S.,M.SNPI 1891868428
Title
Owner
Phone
(248) 344-8400

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 14748 MI Primary

Addresses

Primary practice location

45500 W 10 Mile Rd
Novi, MI 48374-3101

Mailing address

45500 W 10 Mile Rd
Novi, MI 48374-3101
Phone (248) 344-8400

National Provider Directory

National Provider Directory

Locations

45500 W 10 Mile Rd
Novi, MI 48374
Phone (248) 344-8400

Practitioners & affiliated clinicians

Practitioners 4

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": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1063845295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45500 W 10 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483743101",
            "telephone_number": "248-344-8400",
            "fax_number": "248-344-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45500 W 10 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483743101",
            "telephone_number": "248-344-8400",
            "fax_number": "248-344-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPILLANE AND REYNOLDS ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "SPILLANE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-344-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "14748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.