Individual provider Active NPI

Cynthia L. Sitchon, D.D.S.

  • General Practice Dentistry
  • Livonia, MI
National Provider Identifier
1205911336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19161 Issued in MI
Practice address
36051 5 Mile Rd
Livonia, MI 48154-1931
Phone
(734) 462-6400
Fax
(734) 462-6405
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19161 MI Primary

Addresses

Primary practice location

36051 5 Mile Rd
Livonia, MI 48154-1931

Mailing address

36051 5 Mile Rd
Livonia, MI 48154-1931
Phone (734) 462-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 1, 2013 through Aug 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19161MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David C. Slekovich, D.D.S.,P.C. General Practice Past Accepting new patients
Edp of Mi II PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205911336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36051 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541931",
            "telephone_number": "734-462-6400",
            "fax_number": "734-462-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36051 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541931",
            "telephone_number": "734-462-6400",
            "fax_number": "734-462-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITCHON",
        "first_name": "CYNTHIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "19161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.