Davinder Mudan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5315087442 Issued in MI

Practice address

33080 Garfield Rd
Fraser, MI 48026-1867

Phone

(586) 293-8750

NPI assigned

Jul 31, 2017

Last updated

Jul 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• DCF Limited, Inc

  dba Dental Care of the Future

  • Dental Clinic/Center
  • Fraser, MI
  • NPI 1811068539
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1245754415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49362 SANDRA DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153534",
            "telephone_number": "616-886-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33080 GARFIELD RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480261867",
            "telephone_number": "586-293-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDAN",
        "first_name": "DAVINDER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "5315087442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Miranti
• Kyla C Monette
• Alicia Brooke Moore, CRNA
• Ashley Morin
• Robert J Morris, M.D.
• Matthew P Mullan, D.D.S.
• Lata Nair-Brown, OTR/L
• Stephanie Anne Newberry, M.A., L.P.C.
• Norbert P Czajkowski, MD, PC (Fraser Eye Care Center)
• Norbert P Czajkowski, MD, PC (Fraser Eye Care Center)

• General Practice Dentistry in Fraser, MI
• Providers in Fraser, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.