Organization Active NPI

Purpose Professional PLLC

  • General Practice Dentistry
  • Van Buren TWP, MI
National Provider Identifier
1316647738
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PURPOSE PROFESSIONAL PLLC
Practice address
45520 Tyler Rd
Van Buren TWP, MI 48111-1717
Phone
(734) 335-8000
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Nicholas Kizy, DDSNPI 1023468691
Title
Dentist
Phone
(734) 335-8000

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 Primary

Addresses

Primary practice location

45520 Tyler Rd
Van Buren TWP, MI 48111-1717

Mailing address

45520 Tyler Rd
Van Buren TWP, MI 48111-1717
Phone (734) 335-8000

National Provider Directory

National Provider Directory

Locations

45520 Tyler Rd
Van Buren Township, MI 48111
Phone (734) 335-8000

Practitioners & affiliated clinicians

Practitioners 1

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": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1316647738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45520 TYLER RD",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481111717",
            "telephone_number": "734-335-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45520 TYLER RD",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481111717",
            "telephone_number": "734-335-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE PROFESSIONAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "KIZY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-335-8000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.