Organization Active NPI

Anjoo C. Ely, DDS, PLLC

  • Dentist
  • Novi, MI
National Provider Identifier
1093143802
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901017277 Issued in MI
Legal business name
ANJOO C. ELY, DDS, PLLC
Practice address
27225 Providence Pkwy Ste 100
Novi, MI 48374-1271
Phone
(248) 347-3030
Fax
(248) 347-1198
NPI assigned
Oct 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Dr. Anjoo Chaudhr Ely, DDSNPI 1023134053
Title
Owner
Phone
(248) 347-3030

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 2901017277 MI Primary

Addresses

Primary practice location

27225 Providence Pkwy Ste 100
Novi, MI 48374-1271

Mailing address

27225 Providence Pkwy Ste 100
Novi, MI 48374-1271
Phone (248) 347-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130613000200 MI DME Supplier - Oral Surgery - Dentist 4385883891 Practice locations: Novi, MI

National Provider Directory

National Provider Directory
Tax ID family
Anjoo C Ely DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27225 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 347-3030

Practitioners & affiliated clinicians

Practitioners 1

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": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1093143802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27225 PROVIDENCE PKWY STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741271",
            "telephone_number": "248-347-3030",
            "fax_number": "248-347-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27225 PROVIDENCE PKWY STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741271",
            "telephone_number": "248-347-3030",
            "fax_number": "248-347-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJOO C. ELY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "ELY",
        "authorized_official_first_name": "ANJOO",
        "authorized_official_middle_name": "CHAUDHR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-347-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017277",
            "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 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.