Dexter Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DEXTER PEDIATRICS LLC

Practice address

12632 Dexter Ave
Detroit, MI 48238-3340

Phone

(586) 776-4185

NPI assigned

Aug 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Satish Ravilal Mehta, MD

Title

Member

Phone

(313) 378-4620

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Sahar Hassane

  • Behavior Analyst
  • Lauderdale Lakes, FL
  • NPI 1710463005
  NPD

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1235506908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12632 DEXTER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383340",
            "telephone_number": "586-776-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12632 DEXTER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383340",
            "telephone_number": "586-776-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTER PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SATISH",
        "authorized_official_middle_name": "RAVILAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-378-4620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dewberry Medical Co
• Annette Marie Dewberry
• Edward Dewey, CO
• Marie A Dewitt, M.D.
• Zachary Dewyer, MD
• Dexter Pharmacy and Medical Supplies LLC
• Geza Andrew Dezeery, M.D.
• Amanbir Dhade, M.D
• Raminder Dhadli, MD
• Roman Dhakal, MD

• Pediatrics Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.