Individual provider Active NPI

Steve J Vlahakis, DDS

  • Endodontics
  • Plymouth, MI
National Provider Identifier
1356469787
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2901017826 Issued in MI
Practice address
9416 S Main St
Suite 212
Plymouth, MI 48170-4148
Phone
(734) 459-8844
Fax
(734) 459-8281
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2901017826 MI Primary

Addresses

Primary practice location

9416 S Main St
Suite 212
Plymouth, MI 48170-4148

Mailing address

9416 S Main St
Suite 212
Plymouth, MI 48170-4148
Phone (734) 459-8844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 8, 2016 through Mar 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901017826MIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Endodontics Endodontics CurrentSince Jul 12, 2020 Accepting new patients

Locations

9416 S Main St
Ste 212
Plymouth, MI 48170
Phone (734) 459-8844

Organizations & group practices 1

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356469787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9416 S MAIN ST",
            "address_2": "SUITE 212",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704148",
            "telephone_number": "734-459-8844",
            "fax_number": "734-459-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9416 S MAIN ST",
            "address_2": "SUITE 212",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704148",
            "telephone_number": "734-459-8844",
            "fax_number": "734-459-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLAHAKIS",
        "first_name": "STEVE",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901017826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.