Individual provider Active NPI

Steven Velkovski, DDS

  • Dentist
  • Novi, MI
National Provider Identifier
1154675080
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020779 Issued in MI
Practice address
39475 Lewis Dr Ste 100
Novi, MI 48377-2977
Phone
(248) 553-3100
Fax
(248) 553-4115
NPI assigned
Oct 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020779 MI Primary

Addresses

Primary practice location

39475 Lewis Dr Ste 100
Novi, MI 48377-2977

Mailing address

39475 Lewis Dr Ste 100
Novi, MI 48377-2977
Phone (248) 553-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190219002645 MI Order and Referring Only - DentistPractitioner - Dentist 5496093379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020779MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmington Family Dentistry PC PastSince Jan 17, 2022 Accepting new patients
Dr. Smith & Associates (Rochester Hills), P.C. PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1154675080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39475 LEWIS DR STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772977",
            "telephone_number": "248-553-3100",
            "fax_number": "248-553-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39475 LEWIS DR STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772977",
            "telephone_number": "248-553-3100",
            "fax_number": "248-553-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELKOVSKI",
        "first_name": "STEVEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.