NPIMap

Individual provider Active NPI

Linda Fortino, D.M.D.

  • Dentist
  • Farmington Hills, MI
National Provider Identifier
1295942597
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MI11557 Issued in MI
Practice address
32931 Middlebelt Rd
Suite 608
Farmington Hills, MI 48334-1772
Phone
(248) 626-0772
Fax
(248) 626-3572
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MI11557 MI Primary

Addresses

Primary practice location

32931 Middlebelt Rd
Suite 608
Farmington Hills, MI 48334-1772

Mailing address

32931 Middlebelt Rd
Suite 608
Farmington Hills, MI 48334-1772
Phone (248) 626-0772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MI11557MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Marc L. Dwoskin, D.D.S., P.C. Past Accepting new patients
Marc L. Dwoskin, D.D.S., P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295942597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32931 MIDDLEBELT RD",
            "address_2": "SUITE 608",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341772",
            "telephone_number": "248-626-0772",
            "fax_number": "248-626-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32931 MIDDLEBELT RD",
            "address_2": "SUITE 608",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341772",
            "telephone_number": "248-626-0772",
            "fax_number": "248-626-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTINO",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "MI11557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.