Active NPI
Freemans Family Dentistry
- Public Health Dentistry
- Detroit, MI
National Provider Identifier
1194978072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 290101411
- Legal business name
- FREEMANS FAMILY DENTISTRY
- Practice address
- 18255 W McNichols Rd
Detroit, MI 48219-4111 - Phone
- (313) 535-5050
- Fax
- (313) 535-5426
- NPI assigned
- Oct 23, 2008
- 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. Ronald J Macafee, DDS
- Title
- Dentist
- Phone
- (313) 535-5050
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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 290101411 | MI | Primary |
Addresses
Primary practice location
18255 W McNichols Rd
Detroit, MI 48219-4111
Mailing address
18255 W McNichols Rd
Detroit, MI 48219-4111
Phone (313) 535-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1246582269 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
18255 W McNichols Rd
Detroit, MI 48219
Phone (313) 535-5050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Detroit, MI
- NPI 1700926623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273622400000",
"number": "1194978072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18255 W MCNICHOLS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482194111",
"telephone_number": "313-535-5050",
"fax_number": "313-535-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18255 W MCNICHOLS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482194111",
"telephone_number": "313-535-5050",
"fax_number": "313-535-5426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEMANS FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-23",
"last_updated": "2010-05-12",
"status": "A",
"authorized_official_last_name": "MACAFEE",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "313-535-5050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Dental Public Health",
"state": "MI",
"license": "290101411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1246582269",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.