NPIMap

Organization Active NPI

Commerce Dentistry, PLLC

  • General Practice Dentistry
  • Commerce Township, MI
National Provider Identifier
1326414426
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13614 Issued in MI
Legal business name
COMMERCE DENTISTRY, PLLC
Practice address
8091 Commerce Rd
Commerce Township, MI 48382
Phone
(248) 242-6600
NPI assigned
Aug 12, 2015
Last updated
May 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Ashley Mansour
Title
Manager
Phone
(248) 242-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 13614 MI Primary

Addresses

Primary practice location

8091 Commerce Rd
Commerce Township, MI 48382

Mailing address

8091 Commerce Rd Ste 3
Commerce TWP, MI 48382-3575
Phone (248) 242-6600

National Provider Directory

National Provider Directory
Tax ID family
Commerce Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8091 Commerce Rd
Commerce Twp, MI 48382
Phone (248) 242-6600

Practitioners & affiliated clinicians

Practitioners 3

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": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1326414426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8091 COMMERCE RD STE 3",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483823575",
            "telephone_number": "248-242-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8091 COMMERCE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-242-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-242-6600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.