NPIMap

Organization Active NPI

Carl Papa D.D.S., P.C.

  • Dentist
  • Roseville, MI
National Provider Identifier
1114193208
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
012222 Issued in MI
Legal business name
CARL PAPA D.D.S., P.C.
Practice address
21055 E 12 Mile Rd
Roseville, MI 48066-2205
Phone
(586) 772-0100
Fax
(586) 772-3128
NPI assigned
May 8, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Carl Papa, D.D.S.NPI 1306946868
Title
President
Phone
(586) 772-0100

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
Dentist 122300000X 012222 MI Primary

Addresses

Primary practice location

21055 E 12 Mile Rd
Roseville, MI 48066-2205

Mailing address

21055 E 12 Mile Rd
Roseville, MI 48066-2205
Phone (586) 772-0100

National Provider Directory

National Provider Directory

Locations

21055 E 12 Mile Rd
Roseville, MI 48066
Phone (586) 772-0100

Practitioners & affiliated clinicians

Practitioners 4

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1114193208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21055 E 12 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662205",
            "telephone_number": "586-772-0100",
            "fax_number": "586-772-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21055 E 12 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662205",
            "telephone_number": "586-772-0100",
            "fax_number": "586-772-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL PAPA D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "PAPA",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-772-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "012222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.