Organization Active NPI

Ansari Dental of Troy PLLC

  • Dental Clinic/Center
  • Troy, MI
National Provider Identifier
1306334503
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901020901 Issued in MI
Legal business name
ANSARI DENTAL OF TROY PLLC
Practice address
3962 Rochester Rd
Troy, MI 48083-5248
Phone
(248) 891-6735
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Tonya Walker
Title
Biller
Phone
(248) 891-6735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901020901 MI Primary

Addresses

Primary practice location

3962 Rochester Rd
Troy, MI 48083-5248

Mailing address

3962 Rochester Rd
Troy, MI 48083-5248

National Provider Directory

National Provider Directory

Locations

3962 Rochester Rd
Troy, MI 48083
Phone (248) 891-6735

Practitioners & affiliated clinicians

Practitioners 3

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": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1306334503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3962 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3962 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835248",
            "telephone_number": "248-891-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANSARI DENTAL OF TROY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "248-891-6735"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901020901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.