Active NPI
Swati Washimkar
- General Practice Dentistry
- Detroit, MI
National Provider Identifier
1114596210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901600986
- Practice address
- 13874 Grand River Ave
Detroit, MI 48227-3123 - Phone
- (313) 651-7260
- NPI assigned
- Jun 22, 2021
- Last updated
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901600986 | MI | Primary |
Addresses
Primary practice location
13874 Grand River Ave
Detroit, MI 48227-3123
Mailing address
2079 N Lovington Dr Apt 205
Troy, MI 48083-4385
Phone (248) 933-8950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240318000886 | MI | Order and Referring Only - Dentist | 7719330893 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1114596210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2079 N LOVINGTON DR APT 205",
"city": "TROY",
"state": "MI",
"postal_code": "480834385",
"telephone_number": "248-933-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13874 GRAND RIVER AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482273123",
"telephone_number": "313-651-7260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHIMKAR",
"first_name": "SWATI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901600986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.