NPIMap

Organization Active NPI

Ez Dentists PLC

  • Dental Clinic/Center
  • Dearborn Heights, MI
National Provider Identifier
1366109787
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EZ DENTISTS PLC
Practice address
22211 W Warren St Ste 200
Dearborn Heights, MI 48127-2597
Phone
(313) 982-3720
NPI assigned
Nov 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Camilo Machado, DDSNPI 1710025499
Title
Member
Phone
(313) 982-3720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

22211 W Warren St Ste 200
Dearborn Heights, MI 48127-2597

Mailing address

22211 W Warren St Ste 200
Dearborn Heights, MI 48127-2597
Phone (313) 982-3720

National Provider Directory

National Provider Directory

Locations

22211 W Warren St
Ste 200
Dearborn Heights, MI 48127
Phone (313) 982-3720

Practitioners & affiliated clinicians

Practitioners 3

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": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1366109787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22211 W WARREN ST STE 200",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272597",
            "telephone_number": "313-982-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22211 W WARREN ST STE 200",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272597",
            "telephone_number": "313-982-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ DENTISTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "CAMILO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-982-3720",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.