Northend Management Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTHEND MANAGEMENT GROUP LLC

Practice address

7591 E 9 Mile Rd
Warren, MI 48091-2644

Phone

(586) 578-9898

Fax

(586) 578-9851

NPI assigned

Dec 22, 2023

Organization subpart

No

Name

Rana Kizy, MANAGER

Title

Owner

Phone

(248) 535-5024

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wafid W Kizy, DMD

  • Dentist
  • Oak Park, MI
  • NPI 1366564122
  NPD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 22, 2023.

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1124897772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7591 E 9 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912644",
            "telephone_number": "586-578-9898",
            "fax_number": "586-578-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7591 E 9 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912644",
            "telephone_number": "586-578-9898",
            "fax_number": "586-578-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEND MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "KIZY",
        "authorized_official_first_name": "RANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-535-5024",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Warren, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.