Organization Active NPI

Robert G. Nakisher, D.D.S., P.L.L.C.

  • Dental Clinic/Center
  • West Bloomfield, MI
National Provider Identifier
1154844793
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROBERT G. NAKISHER, D.D.S., P.L.L.C.
Practice address
7010 Pontiac TRL
West Bloomfield, MI 48323-2017
Phone
(248) 363-3304
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Robert G Nakisher, D.D.S.
Title
Owner
Phone
(248) 363-3304

Specialties & licenses 1

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

Addresses

Primary practice location

7010 Pontiac TRL
West Bloomfield, MI 48323-2017

Mailing address

7010 Pontiac TRL
West Bloomfield, MI 48323-2017
Phone (248) 363-3304

Other names 1

  • LakeView Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154844793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 PONTIAC TRL",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232017",
            "telephone_number": "248-363-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 PONTIAC TRL",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232017",
            "telephone_number": "248-363-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G. NAKISHER, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NAKISHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-363-3304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LakeView Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.