NPIMap

Organization Active NPI

Martin J Fraschetti, D.D.S., Family Dentistry P.C.

  • General Practice Dentistry
  • Saint Clair Shores, MI
National Provider Identifier
1114046976
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013741 Issued in MI
Legal business name
MARTIN J FRASCHETTI, D.D.S., FAMILY DENTISTRY P.C.
Practice address
27731 Jefferson Ave
Saint Clair Shores, MI 48081-1309
Phone
(586) 773-1212
Fax
(586) 778-5756
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Martin J Fraschetti, D.D.S., F.I.C.C.M.O.NPI 1558482430
Title
Dentist
Phone
(586) 773-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 013741 MI Primary

Addresses

Primary practice location

27731 Jefferson Ave
Saint Clair Shores, MI 48081-1309

Mailing address

27731 Jefferson Ave
Saint Clair Shores, MI 48081-1309
Phone (586) 773-1212

National Provider Directory

National Provider Directory

Locations

27731 Jefferson Ave
Saint Clair Shores, MI 48081
Phone (586) 771-3440

Practitioners & affiliated clinicians

Practitioners 2

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114046976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27731 JEFFERSON AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811309",
            "telephone_number": "586-773-1212",
            "fax_number": "586-778-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27731 JEFFERSON AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811309",
            "telephone_number": "586-773-1212",
            "fax_number": "586-778-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN J FRASCHETTI, D.D.S., FAMILY DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRASCHETTI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-773-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., F.I.C.C.M.O."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "013741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.