Active NPI
James Richard Geist
- Oral and Maxillofacial Radiology Dentistry
- Detroit, MI
National Provider Identifier
1225139652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 2901014621
- Practice address
- 8200 W Outer Dr
Box 129
Detroit, MI 48219-3580 - Phone
- (313) 494-6675
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 2901014621 | MI | Primary |
Addresses
Primary practice location
8200 W Outer Dr
Box 129
Detroit, MI 48219-3580
Mailing address
8200 W Outer Dr
Box 129
Detroit, MI 48219-3580
Phone (313) 494-6675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901014621 | MI | MD | Oral and Maxillofacial Radiology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225139652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 W OUTER DR",
"address_2": "BOX 129",
"city": "DETROIT",
"state": "MI",
"postal_code": "482193580",
"telephone_number": "313-494-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 W OUTER DR",
"address_2": "BOX 129",
"city": "DETROIT",
"state": "MI",
"postal_code": "482193580",
"telephone_number": "313-494-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEIST",
"first_name": "JAMES",
"middle_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "MI",
"license": "2901014621",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.