Active NPI
Berman Family Dentistry PLLC
- General Practice Dentistry
- Plymouth, MI
National Provider Identifier
1336749522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BERMAN FAMILY DENTISTRY PLLC
- Practice address
- 9430 S Main St Ste 1
Plymouth, MI 48170-4149 - Phone
- (734) 453-2200
- Fax
- (734) 453-2318
- NPI assigned
- Oct 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna M Sadowski
- Title
- Office MGR
- Phone
- (734) 453-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
9430 S Main St Ste 1
Plymouth, MI 48170-4149
Mailing address
9430 S Main St Ste 1
Plymouth, MI 48170-4149
Phone (734) 453-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003166729 | Medicaid | MI | |
| 1114975638 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
9430 S Main St
Ste 1
Plymouth, MI 48170
Phone (734) 453-2200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Plymouth, MI
- NPI 1003166729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603843200000",
"number": "1336749522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9430 S MAIN ST STE 1",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704149",
"telephone_number": "734-453-2200",
"fax_number": "734-453-2318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 S MAIN ST STE 1",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704149",
"telephone_number": "734-453-2200",
"fax_number": "734-453-2318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERMAN FAMILY DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A",
"authorized_official_last_name": "SADOWSKI",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MGR",
"authorized_official_telephone_number": "734-453-2200"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003166729",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114975638",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.