Active NPI
Silver Lake Family Practice PLLC
- Family Medicine Physician
- Fenton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SILVER LAKE FAMILY PRACTICE PLLC
- Practice address
- 1100 Torrey Rd Ste 400
Fenton, MI 48430-3330 - Phone
- (810) 714-7369
- Fax
- (810) 714-9258
- NPI assigned
- Nov 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Benford
- Title
- Owner
- Phone
- (810) 714-7369
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1100 Torrey Rd Ste 400
Fenton, MI 48430-3330
Mailing address
1100 Torrey Rd Ste 400
Fenton, MI 48430-3330
Phone (810) 714-7369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050314000906 | MI | Part B Supplier - Clinic/Group Practice | 5890740724 |
Receives reassigned benefits from 5 practitioners Practice locations: Fenton, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1037086 | Silver Lake Family Practice | Certificate of waiver | Feb 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
1100 Torrey Rd
Ste 300
Fenton, MI 48430
Phone (810) 714-7369
1100 Torrey Rd
Ste 400
Fenton, MI 48430
Phone (810) 714-7369
Practitioners & affiliated clinicians
Practitioners 5
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": "1194912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758585600000",
"number": "1124208608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 TORREY RD STE 400",
"city": "FENTON",
"state": "MI",
"postal_code": "484303330",
"telephone_number": "810-714-7369",
"fax_number": "810-714-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 TORREY RD STE 400",
"city": "FENTON",
"state": "MI",
"postal_code": "484303330",
"telephone_number": "810-714-7369",
"fax_number": "810-714-9258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVER LAKE FAMILY PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-13",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A",
"authorized_official_last_name": "BENFORD",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-714-7369"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.