Organization Active NPI

Dipilla Biomimetic Dentistry PLLC

  • Dental Clinic/Center
  • Birmingham, MI
National Provider Identifier
1134937642
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DIPILLA BIOMIMETIC DENTISTRY PLLC
Practice address
600 N Old Woodward Ave Ste 201
Birmingham, MI 48009-1318
Phone
(313) 246-8288
Fax
(248) 266-9319
NPI assigned
Dec 30, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Jennifer Ausilio
Title
Insurance Coordinator
Phone
(586) 615-6865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

600 N Old Woodward Ave Ste 201
Birmingham, MI 48009-1318

Mailing address

600 N Old Woodward Ave Ste 201
Birmingham, MI 48009-1318
Phone (313) 246-8288

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1134937642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N OLD WOODWARD AVE STE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091318",
            "telephone_number": "313-246-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N OLD WOODWARD AVE STE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091318",
            "telephone_number": "313-246-8288",
            "fax_number": "248-266-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPILLA BIOMIMETIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "AUSILIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "586-615-6865"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.