Organization Active NPI

Senior Dental Care LLC

  • General Practice Dentistry
  • Grosse Pointe Woods, MI
National Provider Identifier
1194023192
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SENIOR DENTAL CARE LLC
Practice address
1163 Hollywood Ave
Grosse Pointe Woods, MI 48236-1371
Phone
(313) 882-4648
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Emanuel J Rothis, DDS
Title
Dentist
Phone
(313) 882-4648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1163 Hollywood Ave
Grosse Pointe Woods, MI 48236-1371

Mailing address

1163 Hollywood Ave
Grosse Pointe Woods, MI 48236-1371
Phone (313) 882-4648

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1194023192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 HOLLYWOOD AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361371",
            "telephone_number": "313-882-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 HOLLYWOOD AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361371",
            "telephone_number": "313-882-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "ROTHIS",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-882-4648",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.