NPIMap

Organization Active NPI

Livonia Dental Care

  • Exclusive Provider Organization
  • Livonia, MI
National Provider Identifier
1083884092
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
14658 Issued in MI
Legal business name
LIVONIA DENTAL CARE
Practice address
33428 Five Mile Rd
Livonia, MI 48154-2860
Phone
(734) 427-7555
Fax
(734) 427-1233
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Sanford Jay NitzkinNPI 1437227758
Title
DDS
Phone
(734) 427-7555

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
Exclusive Provider Organization 302F00000X 14658 MI Primary

Addresses

Primary practice location

33428 Five Mile Rd
Livonia, MI 48154-2860

Mailing address

33428 Five Mile Rd
Livonia, MI 48154-2860
Phone (734) 427-7555

National Provider Directory

National Provider Directory

Locations

33428 5 Mile Rd
Livonia, MI 48154
Phone (734) 427-7555

Practitioners & affiliated clinicians

Practitioners 10

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": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1083884092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33428 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542860",
            "telephone_number": "734-427-7555",
            "fax_number": "734-427-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33428 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542860",
            "telephone_number": "734-427-7555",
            "fax_number": "734-427-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "NITZKIN",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "734-427-7555"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MI",
            "license": "14658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.