NPIMap

Organization Active NPI

Periodontic and Implantology Specialists PLLC

  • Periodontics
  • Farmington Hills, MI
National Provider Identifier
1346828068
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PERIODONTIC AND IMPLANTOLOGY SPECIALISTS PLLC
Practice address
33505 W 14 Mile Rd Ste 70
Farmington Hills, MI 48331-1588
Phone
(248) 851-1034
NPI assigned
Apr 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Ms. Karen M Franklin
Title
Practice Administrator
Phone
(248) 851-1034

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

33505 W 14 Mile Rd Ste 70
Farmington Hills, MI 48331-1588

Mailing address

33505 W 14 Mile Rd Ste 70
Farmington Hills, MI 48331-1588
Phone (248) 851-1034

National Provider Directory

National Provider Directory

Locations

33505 W 14 Mile Rd
Ste 70
Farmington Hills, MI 48331
Phone (248) 661-3300

Practitioners & affiliated clinicians

Practitioners 8

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": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1346828068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33505 W 14 MILE RD STE 70",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311588",
            "telephone_number": "248-851-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33505 W 14 MILE RD STE 70",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311588",
            "telephone_number": "248-851-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTIC AND IMPLANTOLOGY SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-21",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "248-851-1034",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.