NPIMap

Organization Active NPI

Joseph R. Nemeth, DDS, PC

  • Periodontics
  • Southfield, MI
National Provider Identifier
1114062767
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901008274 Issued in MI
Legal business name
JOSEPH R. NEMETH, DDS, PC
Practice address
29829 Telegraph Rd
Ste 111
Southfield, MI 48034-7655
Phone
(248) 357-3100
Fax
(248) 357-1626
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Dr. Joseph Ray Nemeth, D.D.S.NPI 1801087085
Title
President
Phone
(248) 357-3100

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
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 2901008274 MI Primary

Addresses

Primary practice location

29829 Telegraph Rd
Ste 111
Southfield, MI 48034-7655

Mailing address

29829 Telegraph Rd
Ste 111
Southfield, MI 48034-7655
Phone (248) 357-3100

Other identifiers 2

IdentifierTypeStateIssuer
5637558OtherMIBLUE CROSS BLUE SHIELD
5532043OtherMIAETNA

Other names 1

  • Michigan 3-D Dental Imaging Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1114062767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD",
            "address_2": "STE 111",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347655",
            "telephone_number": "248-357-3100",
            "fax_number": "248-357-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD",
            "address_2": "STE 111",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347655",
            "telephone_number": "248-357-3100",
            "fax_number": "248-357-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R. NEMETH, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "NEMETH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-357-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901008274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5637558",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5532043",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan 3-D Dental Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.