Deanna Adams
Individual provider Active NPI Other Technician · Macomb, MI
NPI 1356898142 · NPPES record last updated Sep 8, 2016
Key facts
- NPI
- 1356898142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 49235 Dunhill Dr
Macomb, MI 48044-1738 - Phone
- (586) 307-2012
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
49235 Dunhill Dr
Macomb, MI 48044-1738
Mailing address
49235 Dunhill Dr
Macomb, MI 48044-1738
Phone (586) 307-2012
NPI Registry JSON
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1356898142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49235 DUNHILL DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480441738",
"telephone_number": "586-307-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49235 DUNHILL DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480441738",
"telephone_number": "586-307-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "DEANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.