Organization Active NPI

West Bloomfield Center for Dentistry PC

  • Dental Clinic/Center
  • West Bloomfield, MI
National Provider Identifier
1093450041
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WEST BLOOMFIELD CENTER FOR DENTISTRY PC
Practice address
5807 W Maple Rd Ste 181
West Bloomfield, MI 48322-4483
Phone
(247) 487-0160
Fax
(248) 487-0165
NPI assigned
May 4, 2022
Last updated
May 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Darren Eugene Young, DDSNPI 1760506174
Title
Owner/Dentist
Phone
(248) 487-0160

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5807 W Maple Rd Ste 181
West Bloomfield, MI 48322-4483

Mailing address

5807 W Maple Rd Ste 181
West Bloomfield, MI 48322-4483
Phone (247) 487-0160

National Provider Directory

National Provider Directory

Locations

5807 W Maple Rd
Ste 181
West Bloomfield, MI 48322
Phone (247) 487-0160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1093450041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 W MAPLE RD STE 181",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224483",
            "telephone_number": "247-487-0160",
            "fax_number": "248-487-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 W MAPLE RD STE 181",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224483",
            "telephone_number": "247-487-0160",
            "fax_number": "248-487-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BLOOMFIELD CENTER FOR DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "248-487-0160",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 4, 2022; 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.