Individual provider Active NPI

Venancio Torres III, D.D.S.

  • General Practice Dentistry
  • Saint Clair, MI
National Provider Identifier
1235582750
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901021518 Issued in MI
Practice address
201 N Riverside Ave Ste E2A
Saint Clair, MI 48079-5491
Phone
(810) 329-2289
NPI assigned
Jul 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901021518 MI Primary

Addresses

Primary practice location

201 N Riverside Ave Ste E2A
Saint Clair, MI 48079-5491

Mailing address

201 N Riverside Ave Ste E2A
Saint Clair, MI 48079-5491
Phone (810) 329-2289

Other practice location 1

13874 Grand River Ave
Detroit, MI 48227-3123
Phone (313) 651-7260

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
I20161024002297 MI Order and Referring Only - DentistPractitioner - Dentist 1456639525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021518MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson & Schroyer DDS PC General Practice PastSince Dec 1, 2019 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, 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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1235582750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N RIVERSIDE AVE STE E2A",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795491",
            "telephone_number": "810-329-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N RIVERSIDE AVE STE E2A",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795491",
            "telephone_number": "810-329-2289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13874 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482273123",
            "country_code": "US",
            "telephone_number": "313-651-7260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "VENANCIO",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair, MI

Sources for this page

Verify at the official NPI Registry.