Individual provider Active NPI

Mitchell Solomon Sable, DDS

  • Dentist
  • Warren, MI
National Provider Identifier
1316509326
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600200 Issued in MI
Practice address
11270 E 13 Mile Rd Ste 1a
Warren, MI 48093-2599
Phone
(586) 573-7700
NPI assigned
Jul 1, 2019
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600200 MI Primary

Addresses

Primary practice location

11270 E 13 Mile Rd Ste 1a
Warren, MI 48093-2599

Mailing address

6498 Lakeshore St
West Bloomfield, MI 48323-1428

Other identifiers 2

IdentifierTypeStateIssuer
2901600200OtherMISTATE DENTAL LICENSE
S140603772356OtherMISTATE DRIVER LICENSE

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
2901600200MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory S. Apsey, DDS CurrentSince Dec 15, 2024 Accepting new patients
Mitchell Sable, DDS, PLLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

11270 E 13 Mile Rd
Ste 1A
Warren, MI 48093
Phone (586) 573-7700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1316509326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6498 LAKESHORE ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11270 E 13 MILE RD STE 1A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932599",
            "telephone_number": "586-573-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABLE",
        "first_name": "MITCHELL",
        "middle_name": "SOLOMON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "2901600200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DRIVER LICENSE",
            "identifier": "S140603772356",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.