Active NPI
Deanna Kathleen Vertesi, D.D.S.
- Dentist
- Madison Heights, MI
National Provider Identifier
1326489931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901021012
- Practice address
- 27351 Dequindre Rd
Madison Heights, MI 48071-3487 - Phone
- (248) 967-7795
- NPI assigned
- Jul 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901021012 | MI | Primary |
Addresses
Primary practice location
27351 Dequindre Rd
Madison Heights, MI 48071-3487
Mailing address
702-515 Riverside Drive West
Windsor, ONTARIO N9A7C3
CA
Phone (226) 350-5785
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021012 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1326489931",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "702-515 RIVERSIDE DRIVE WEST",
"city": "WINDSOR",
"state": "ONTARIO",
"postal_code": "N9A7C3",
"telephone_number": "226-350-5785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27351 DEQUINDRE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480713487",
"telephone_number": "248-967-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERTESI",
"first_name": "DEANNA KATHLEEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901021012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.