Active NPI
Angeline Harville
- Endodontics
- Southfield, MI
National Provider Identifier
1083392658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2901601866
- Practice address
- 29201 Telegraph Rd Ste 110
Southfield, MI 48034-7630 - Phone
- (124) 835-8291
- NPI assigned
- Jul 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2901601866 | MI | Primary |
Addresses
Primary practice location
29201 Telegraph Rd Ste 110
Southfield, MI 48034-7630
Mailing address
1011 N University Ave
Ann Arbor, MI 48109-1078
Other practice location 1
16151 19 Mile Rd Ste 101
Clinton Township, MI 48038-1157
Phone (586) 286-7000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901601866 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1083392658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 N UNIVERSITY AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481091078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29201 TELEGRAPH RD STE 110",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480347630",
"telephone_number": "124-835-8291"
}
],
"practiceLocations": [
{
"address_1": "16151 19 Mile Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Clinton Township",
"state": "MI",
"postal_code": "480381157",
"country_code": "US",
"telephone_number": "586-286-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARVILLE",
"first_name": "ANGELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-05",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MI",
"license": "2901601866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.