Care Crest

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

632127 Issued in MI

Legal business name

CARE CREST

Practice address

15365 Hill CT
Roseville, MI 48066-3119

Phone

(586) 879-0114

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Therica Givans

Title

Healthcare Administrator

Phone

(313) 421-9835

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1205205481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15365 HILL CT",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663119",
            "telephone_number": "586-879-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15365 HILL CT",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663119",
            "telephone_number": "586-879-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "GIVANS",
        "authorized_official_first_name": "THERICA",
        "authorized_official_title_or_position": "HEALTHCARE ADMINISTRATOR",
        "authorized_official_telephone_number": "313-421-9835"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "632127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul E Campbell
• Todd Garrison Campbell, MD
• Jillian Cantrell, LLMFT
• David Paul Caplan, O.D. (DOCTOR OF OPTO
• Cardiovascular Institute of Michigan, P.C.
• Caring Dentistry of Roseville DDS PLLC
• Carl Papa D.D.S., P.C.
• Marianne Louise Carney, DPM
• Adam Michael Castle, OD
• Ashley Cavazos

• All providers in Roseville, MI
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.