Active NPI
Nicholas Dipilla
- General Practice Dentistry
- Detroit, MI
National Provider Identifier
1326561887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15400
- Practice address
- 1 Woodward Ave Ste 1625
Detroit, MI 48226-3422 - Phone
- (313) 246-8288
- NPI assigned
- Jul 17, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15400 | MI | Primary |
Addresses
Primary practice location
1 Woodward Ave Ste 1625
Detroit, MI 48226-3422
Mailing address
1870 Prestwick Rd
Grosse Pointe Woods, MI 48236-1941
Other practice location 1
51160 Washington St
New Baltimore, MI 48047-2159
Phone (586) 725-9321
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 |
|---|---|---|---|
| 15400 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krause Dental Excellence PC | Past | Accepting new patients | |
| NB Dental | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- New Baltimore, MI
- NPI 1255952933
-
- Dental Clinic/Center
- New Baltimore, MI
- NPI 1245396373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1326561887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 PRESTWICK RD",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WOODWARD AVE STE 1625",
"city": "DETROIT",
"state": "MI",
"postal_code": "482263422",
"telephone_number": "313-246-8288"
}
],
"practiceLocations": [
{
"address_1": "51160 Washington St",
"address_purpose": "LOCATION",
"city": "New Baltimore",
"state": "MI",
"postal_code": "480472159",
"country_code": "US",
"telephone_number": "586-725-9321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIPILLA",
"first_name": "NICHOLAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-17",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "15400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.