Active NPI
Gabrielle Noory, D.D.S.
- Endodontics
- Southfield, MI
National Provider Identifier
1215064837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 16218
- Practice address
- 29201 Telegraph Rd
Suite 110
Southfield, MI 48034-1331 - Phone
- (248) 358-2910
- Fax
- (248) 358-2479
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 16218 | MI | Primary |
Addresses
Primary practice location
29201 Telegraph Rd
Suite 110
Southfield, MI 48034-1331
Mailing address
29201 Telegraph Rd
Suite 110
Southfield, MI 48034-1331
Phone (248) 358-2910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160623001156 | MI | Order and Referring Only - Other (Physician) | 5799076659 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16218 | MI | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Endodontics | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Southfield, MI
- NPI 1679797609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215064837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29201 TELEGRAPH RD",
"address_2": "SUITE 110",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341331",
"telephone_number": "248-358-2910",
"fax_number": "248-358-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29201 TELEGRAPH RD",
"address_2": "SUITE 110",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341331",
"telephone_number": "248-358-2910",
"fax_number": "248-358-2479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOORY",
"first_name": "GABRIELLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MI",
"license": "16218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.