Conant Family Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301073086 Issued in MI

Legal business name

CONANT FAMILY CARE PLLC

Practice address

3611 Carpenter St Ste 5
Detroit, MI 48212-2784

Phone

(917) 588-1632

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Masuda Poli

Title

Owner

Phone

(917) 588-1632

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1205339306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 CARPENTER ST STE 5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 CARPENTER ST STE 5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122784",
            "telephone_number": "917-588-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONANT FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "POLI",
        "authorized_official_first_name": "MASUDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-588-1632"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301073086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carter Fitzgerald Comrie, PHD, LP
• Conant Dental, P.C.
• Conant Garden Dental Center DDS PC
• Conant Home Health Care LLC
• Conant Plaza Pharmacy LLC
• Conant Walk in Clinic PC
• Michael Anthony Conat

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.