NPIMap

Organization Active NPI

R. Peter Maly DDS PC

  • General Practice Dentistry
  • Novi, MI
National Provider Identifier
1285850677
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14108 Issued in MI
Legal business name
R. PETER MALY DDS PC
Practice address
43025 W Ten Mile Rd.
Novi, MI 48375-3456
Phone
(248) 347-3700
Fax
(248) 347-1541
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Raymond Peter Maly, D.D.S.NPI 1720150535
Title
President
Phone
(248) 347-3700

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 14108 MI Primary

Addresses

Primary practice location

43025 W Ten Mile Rd.
Novi, MI 48375-3456

Mailing address

43025 W Ten Mile Rd.
Novi, MI 48375-3456
Phone (248) 347-3700

National Provider Directory

National Provider Directory

Locations

43025 W 10 Mile Rd
Novi, MI 48375
Phone (248) 347-3700

Practitioners & affiliated clinicians

Practitioners 2

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1285850677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43025 W TEN MILE RD.",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753456",
            "telephone_number": "248-347-3700",
            "fax_number": "248-347-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43025 W TEN MILE RD.",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753456",
            "telephone_number": "248-347-3700",
            "fax_number": "248-347-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. PETER MALY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "MALY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-347-3700",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.