Organization Active NPI

Freemans Family Dentistry

  • Public Health Dentistry
  • Detroit, MI
National Provider Identifier
1194978072
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
290101411 Issued in MI
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

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. Ronald J Macafee, DDSNPI 1700926623
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)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1246582269MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.