Organization Active NPI

David M Kirschner DDS PC

  • General Practice Dentistry
  • Southfield, MI
National Provider Identifier
1346789047
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901013874 Issued in MI
Legal business name
DAVID M KIRSCHNER DDS PC
Practice address
29425 Northwestern Hwy Ste 310
Southfield, MI 48034-1000
Phone
(248) 354-3500
NPI assigned
Feb 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Dr. David M Kirschner, DDS
Title
President
Phone
(248) 354-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901013874 MI Primary

Addresses

Primary practice location

29425 Northwestern Hwy Ste 310
Southfield, MI 48034-1000

Mailing address

29425 Northwestern Hwy Ste 310
Southfield, MI 48034-1000
Phone (248) 354-3500

Other identifiers 1

IdentifierTypeStateIssuer
121772782MedicaidMI

National Provider Directory

National Provider Directory

Locations

29425 Northwestern Hwy
Ste 310
Southfield, MI 48034
Phone (248) 354-3500

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": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1346789047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29425 NORTHWESTERN HWY STE 310",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341000",
            "telephone_number": "248-354-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29425 NORTHWESTERN HWY STE 310",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341000",
            "telephone_number": "248-354-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M KIRSCHNER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "KIRSCHNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-354-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121772782",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.