Individual provider Active NPI

Mayank D Vora, DDS

  • Endodontics
  • Brighton, MI
National Provider Identifier
1235161860
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2901018590 Issued in MI
Practice address
6251 Grand River Rd Ste 600
Brighton, MI 48114-5321
Phone
(517) 552-2000
Fax
(175) 552-2885
NPI assigned
Jul 6, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2901018590 MI Primary

Addresses

Primary practice location

6251 Grand River Rd Ste 600
Brighton, MI 48114-5321

Mailing address

6251 Grand River Rd Ste 600
Brighton, MI 48114-5321
Phone (517) 552-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contactus@rootsendomi.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921002763 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2163489493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roots Endodontics PLC Endodontics CurrentSince Jul 24, 2022 Accepting new patients
Root Canal Specialty Associates Endodontics Past Accepting new patients

Locations

6251 Grand River Rd
Ste 600
Brighton, MI 48114
Phone (517) 552-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235161860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 GRAND RIVER RD STE 600",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481145321",
            "telephone_number": "517-552-2000",
            "fax_number": "175-552-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 GRAND RIVER RD STE 600",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481145321",
            "telephone_number": "517-552-2000",
            "fax_number": "175-552-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORA",
        "first_name": "MAYANK",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901018590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contactus@rootsendomi.com",
            "affiliation": "N",
            "address_1": "6251 Grand River Rd Ste 600",
            "city": "Brighton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481145321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.