Individual provider Active NPI

Alison Lubyansky, D.D.S

  • Dentist
  • Novi, MI
National Provider Identifier
1346645603
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021210 Issued in MI
Practice address
44725 Grand River Ave Ste 205
Novi, MI 48375-1024
Phone
(248) 476-9121
Fax
(248) 308-2145
NPI assigned
Oct 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021210 MI Primary

Addresses

Primary practice location

44725 Grand River Ave Ste 205
Novi, MI 48375-1024

Mailing address

44725 Grand River Ave Ste 205
Novi, MI 48375-1024
Phone (248) 476-9121

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

LicenseStateTypeSpecialty
2901021210MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lubyansky DDS, PLLC Current Accepting new patients
Dr. Lubyansky DDS, PLLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

44725 Grand River Ave
Ste 205
Novi, MI 48375
Phone (248) 476-9121

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1346645603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44725 GRAND RIVER AVE STE 205",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751024",
            "telephone_number": "248-476-9121",
            "fax_number": "248-308-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44725 GRAND RIVER AVE STE 205",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751024",
            "telephone_number": "248-476-9121",
            "fax_number": "248-308-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBYANSKY",
        "first_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.