Organization Active NPI

Patrick J Genrich DDS PC

  • Dental Clinic/Center
  • Livonia, MI
National Provider Identifier
1326779950
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PATRICK J GENRICH DDS PC
Practice address
11426 Merriman Rd
Livonia, MI 48150-2849
Phone
(734) 425-0640
Fax
(734) 425-7824
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Dr. Patrick James Genrich, DDSNPI 1154392280
Title
Owner
Phone
(734) 425-0640

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11426 Merriman Rd
Livonia, MI 48150-2849

Mailing address

11426 Merriman Rd
Livonia, MI 48150-2849
Phone (734) 425-0640

National Provider Directory

National Provider Directory

Locations

11426 Merriman Rd
Livonia, MI 48150
Phone (734) 425-0640

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": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1326779950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11426 MERRIMAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502849",
            "telephone_number": "734-425-0640",
            "fax_number": "734-425-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11426 MERRIMAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502849",
            "telephone_number": "734-425-0640",
            "fax_number": "734-425-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J GENRICH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "GENRICH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-425-0640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.