Organization Active NPI

Lisa M. Motyl, DDS, PLLC

  • General Practice Dentistry
  • Birmingham, MI
National Provider Identifier
1295103729
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020555 Issued in MI
Legal business name
LISA M. MOTYL, DDS, PLLC
Practice address
999 Haynes St
Suite 285
Birmingham, MI 48009-6712
Phone
(248) 540-3494
NPI assigned
Sep 15, 2015
Last updated
Sep 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Dr. Lisa Marie Motyl, DDSNPI 1356617161
Title
Owner
Phone
(248) 540-3494

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 Dentistry 1223G0001X 2901020555 MI Primary

Addresses

Primary practice location

999 Haynes St
Suite 285
Birmingham, MI 48009-6712

Mailing address

999 Haynes St
Suite 285
Birmingham, MI 48009-6712
Phone (248) 540-3494

National Provider Directory

National Provider Directory

Locations

999 Haynes St
Ste 285
Birmingham, MI 48009
Phone (248) 540-3494

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1295103729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST",
            "address_2": "SUITE 285",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096712",
            "telephone_number": "248-540-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST",
            "address_2": "SUITE 285",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096712",
            "telephone_number": "248-540-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. MOTYL, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "MOTYL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-540-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.