Individual provider Active NPI

Lisa Motyl, D.D.S.

  • General Practice Dentistry
  • Birmingham, MI
National Provider Identifier
1356617161
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020555 Issued in MI
Practice address
999 Haynes St
Ste 285
Birmingham, MI 48009-6712
Phone
(248) 540-3494
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020555 MI Primary

Addresses

Primary practice location

999 Haynes St
Ste 285
Birmingham, MI 48009-6712

Mailing address

999 Haynes St Ste 285
Birmingham, MI 48009-6724
Phone (248) 540-3494

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020555MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa M. Motyl, DDS, PLLC General Practice Past Accepting new patients

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1356617161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST STE 285",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096724",
            "telephone_number": "248-540-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST",
            "address_2": "STE 285",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096712",
            "telephone_number": "248-540-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTYL",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.