NPIMap

Organization Active NPI

William a. Shortt, DDS Therese F. Shortt, DDS, PC

  • General Practice Dentistry
  • South Lyon, MI
National Provider Identifier
1235389966
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14480 Issued in MI
Legal business name
WILLIAM A. SHORTT, DDS THERESE F. SHORTT, DDS, PC
Practice address
12756 Ten Mile Rd
South Lyon, MI 48178-8136
Phone
(248) 437-8189
Fax
(248) 437-6819
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Dr. William A. Shortt, DDSNPI 1033229414
Title
Owner
Phone
(248) 437-8189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14480 MI Primary

Addresses

Primary practice location

12756 Ten Mile Rd
South Lyon, MI 48178-8136

Mailing address

12756 Ten Mile Rd
South Lyon, MI 48178-8136
Phone (248) 437-8189

National Provider Directory

National Provider Directory

Locations

12756 10 Mile Rd
South Lyon, MI 48178
Phone (248) 437-8189

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1235389966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12756 TEN MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788136",
            "telephone_number": "248-437-8189",
            "fax_number": "248-437-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12756 TEN MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788136",
            "telephone_number": "248-437-8189",
            "fax_number": "248-437-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. SHORTT, DDS THERESE F. SHORTT, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "SHORTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-437-8189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.