Organization Active NPI

Enspire Dental PLLC

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1124144597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11802 Issued in MI
Legal business name
ENSPIRE DENTAL PLLC
Practice address
3100 W Liberty Rd Ste a
Ann Arbor, MI 48103-8724
Phone
(734) 663-6777
Fax
(734) 663-9820
NPI assigned
Mar 21, 2007
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. Lori Kay Brown I, D.D.S.
Title
Owner-Dentist
Phone
(734) 663-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 11802 MI Primary

Addresses

Primary practice location

3100 W Liberty Rd Ste a
Ann Arbor, MI 48103-8724

Mailing address

3100 W Liberty Rd Ste a
Ann Arbor, MI 48103-8724
Phone (734) 663-6777

National Provider Directory

National Provider Directory

Locations

3100 W Liberty Rd
Ste A
Ann Arbor, MI 48103
Phone (734) 663-6777

Practitioners & affiliated clinicians

Practitioners 4

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124144597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W LIBERTY RD STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038724",
            "telephone_number": "734-663-6777",
            "fax_number": "734-663-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W LIBERTY RD STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038724",
            "telephone_number": "734-663-6777",
            "fax_number": "734-663-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSPIRE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER-DENTIST",
        "authorized_official_telephone_number": "734-663-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "11802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, 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.