Active NPI
Nicole D Teifer DDS PLLC
- Dentist
- Canton, MI
National Provider Identifier
1104292713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- NICOLE D TEIFER DDS PLLC
- Practice address
- 44633 Joy Rd
Ste 300
Canton, MI 48187-1730 - Phone
- (734) 454-9200
- NPI assigned
- Aug 18, 2015
- 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
- Nicole Teifer, DDS MSD
- Title
- Owner
- Phone
- (734) 454-9200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
44633 Joy Rd
Ste 300
Canton, MI 48187-1730
Mailing address
44633 Joy Rd
Ste 300
Canton, MI 48187-1730
Phone (734) 454-9200
Other names 1
- North Canton Orthodontics PLLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439856000000",
"number": "1104292713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44633 JOY RD",
"address_2": "STE 300",
"city": "CANTON",
"state": "MI",
"postal_code": "481871730",
"telephone_number": "734-454-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44633 JOY RD",
"address_2": "STE 300",
"city": "CANTON",
"state": "MI",
"postal_code": "481871730",
"telephone_number": "734-454-9200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE D TEIFER DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A",
"authorized_official_last_name": "TEIFER",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-454-9200",
"authorized_official_credential": "DDS MSD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Canton Orthodontics PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.