Active NPI
Robert G. Nakisher, D.D.S., P.L.L.C
- General Practice Dentistry
- West Bloomfield, MI
National Provider Identifier
1104240415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16085
- Legal business name
- ROBERT G. NAKISHER, D.D.S., P.L.L.C
- Practice address
- 7010 Pontiac TRL
West Bloomfield, MI 48323-2017 - Phone
- (248) 363-3304
- Fax
- (248) 363-0814
- NPI assigned
- Feb 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert G Nakisher, D.D.S.
- Title
- Owner
- Phone
- (248) 363-3304
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16085 | MI | Primary |
| General Practice Dentistry | 1223G0001X | 9918 | MI | |
| General Practice Dentistry | 1223G0001X | 15650 | MI | |
| Periodontics | 1223P0300X | 19162 | MI |
Addresses
Primary practice location
7010 Pontiac TRL
West Bloomfield, MI 48323-2017
Mailing address
7010 Pontiac TRL
West Bloomfield, MI 48323-2017
Phone (248) 363-3304
Other names 1
- LakeView Family Dental
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391644800000",
"number": "1104240415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7010 PONTIAC TRL",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232017",
"telephone_number": "248-363-3304",
"fax_number": "248-363-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7010 PONTIAC TRL",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232017",
"telephone_number": "248-363-3304",
"fax_number": "248-363-0814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT G. NAKISHER, D.D.S., P.L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-06",
"last_updated": "2014-02-06",
"status": "A",
"authorized_official_last_name": "NAKISHER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-363-3304",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "16085",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "9918",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "15650",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "MI",
"license": "19162",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LakeView Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.