Verimax

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VERIMAX

Practice address

5731 Allen Rd
Allen Park, MI 48101-2605

Phone

(313) 253-0450

Fax

(313) 908-4146

NPI assigned

Dec 14, 2021

Last updated

Dec 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Carson, DDSNPI 1871654012

Title

Owner

Phone

(313) 213-3186

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John H Carson, DDS

  • Dentist
  • Detroit, MI
  • NPI 1871654012
  NPD Authorized official

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1356000665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 STUART LN",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201358",
            "telephone_number": "313-213-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012605",
            "telephone_number": "313-253-0450",
            "fax_number": "313-908-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERIMAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-213-3186",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871654012",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.