NPIMap

Organization Active NPI

Seva Dental Michigan PC

  • Dentist
  • Livonia, MI
National Provider Identifier
1124882089
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SEVA DENTAL MICHIGAN PC
Practice address
15875 Middlebelt Rd Ste 100
Livonia, MI 48154-3885
Phone
(734) 427-9871
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Kelly Rolnicki
Title
Director of Revenue Cycle
Phone
(708) 372-4773

Specialties & licenses 1

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

Addresses

Primary practice location

15875 Middlebelt Rd Ste 100
Livonia, MI 48154-3885

Mailing address

2692 Ruminant Rd
Park City, UT 84060-7500

Other names 1

  • Livonia Dental Team Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seva Dental Michigan PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1124882089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2692 RUMINANT RD",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15875 MIDDLEBELT RD STE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543885",
            "telephone_number": "734-427-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVA DENTAL MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "ROLNICKI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "708-372-4773"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livonia Dental Team",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.