Individual provider Active NPI

Devi Sachdeva Kapur, DDS

  • Dentist
  • Grosse Pointe, MI
National Provider Identifier
1154842862
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022342 Issued in MI
Practice address
17700 Mack Ave
Grosse Pointe, MI 48230-6233
Phone
(313) 882-2211
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022342 MI Primary

Addresses

Primary practice location

17700 Mack Ave
Grosse Pointe, MI 48230-6233

Mailing address

29611 Foxrun Cir
Warren, MI 48092-6308
Phone (734) 657-4656

Other practice location 1

16555 E 10 Mile Rd
Eastpointe, MI 48021-1192
Phone (586) 778-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901022342MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Dental Care Dentist Current Accepting new patients

Organizations & group practices 1

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154842862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29611 FOXRUN CIR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480926308",
            "telephone_number": "734-657-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306233",
            "telephone_number": "313-882-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16555 E 10 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Eastpointe",
            "state": "MI",
            "postal_code": "480211192",
            "country_code": "US",
            "telephone_number": "586-778-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPUR",
        "first_name": "DEVI",
        "middle_name": "SACHDEVA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.