Active NPI
Mortiere and Gasparotto DDS PC
Doing business as Mortiere & Gasparotto DDS PC
- General Practice Dentistry
- Canton, MI
National Provider Identifier
1194813535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 014843
- Legal business name
- MORTIERE AND GASPAROTTO DDS PC
- Doing business as
- Mortiere & Gasparotto DDS PC
- Practice address
- 5958 N Canton Center Rd Ste 600
Canton, MI 48187-2766 - Phone
- (734) 459-1950
- Fax
- (734) 459-5710
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Callisto Gasparotto, DDS
- Title
- Vice President
- Phone
- (734) 459-1950
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 014843 | MI | Primary |
Addresses
Primary practice location
5958 N Canton Center Rd Ste 600
Canton, MI 48187-2766
Mailing address
5958 N Canton Center Rd Ste 600
Canton, MI 48187-2766
Phone (734) 459-1950
Other names 1
- Mortiere & Gasparotto DDS PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
5958 N Canton Center Rd
Ste 600
Canton, MI 48187
Phone (734) 459-1950
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Canton, MI
- NPI 1497825962
-
- Dentist
- Canton, MI
- NPI 1497825103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562544000000",
"number": "1194813535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5958 N CANTON CENTER RD STE 600",
"city": "CANTON",
"state": "MI",
"postal_code": "481872766",
"telephone_number": "734-459-1950",
"fax_number": "734-459-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5958 N CANTON CENTER RD STE 600",
"city": "CANTON",
"state": "MI",
"postal_code": "481872766",
"telephone_number": "734-459-1950",
"fax_number": "734-459-5710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORTIERE AND GASPAROTTO DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2019-07-08",
"status": "A",
"authorized_official_last_name": "GASPAROTTO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CALLISTO",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "734-459-1950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "014843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mortiere & Gasparotto DDS PC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.