Active NPI
Edward Fitzpatrick, D.D.S.
- Endodontics
- Roseville, MI
National Provider Identifier
1194765305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 14404
- Practice address
- 18303 E 10 Mile Rd
Suite 150
Roseville, MI 48066-4988 - Phone
- (586) 773-2000
- Fax
- (586) 773-0408
- NPI assigned
- Jun 7, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 14404 | MI | Primary |
Addresses
Primary practice location
18303 E 10 Mile Rd
Suite 150
Roseville, MI 48066-4988
Mailing address
18303 E 10 Mile Rd
Suite 150
Roseville, MI 48066-4988
Phone (586) 773-2000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14404 | MI | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194765305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18303 E 10 MILE RD",
"address_2": "SUITE 150",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664988",
"telephone_number": "586-773-2000",
"fax_number": "586-773-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18303 E 10 MILE RD",
"address_2": "SUITE 150",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664988",
"telephone_number": "586-773-2000",
"fax_number": "586-773-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "EDWARD",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MI",
"license": "14404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.