NPIMap

Organization Active NPI

Grosse Pointe Family Dental

  • General Practice Dentistry
  • Grosse Pointe Woods, MI
National Provider Identifier
1366821837
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14188 Issued in MI
Legal business name
GROSSE POINTE FAMILY DENTAL
Practice address
21308 Mack Ave
Grosse Pointe Woods, MI 48236-1047
Phone
(313) 881-8080
Fax
(248) 569-7914
NPI assigned
May 29, 2015
Last updated
May 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Dr. Noah Robert Levi, D.D.S.
Title
Owner
Phone
(313) 881-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14188 MI Primary

Addresses

Primary practice location

21308 Mack Ave
Grosse Pointe Woods, MI 48236-1047

Mailing address

21308 Mack Ave
Grosse Pointe Woods, MI 48236-1047
Phone (313) 881-8080

National Provider Directory

National Provider Directory

Locations

21308 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-8080

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1366821837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21308 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361047",
            "telephone_number": "313-881-8080",
            "fax_number": "248-569-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21308 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361047",
            "telephone_number": "313-881-8080",
            "fax_number": "248-569-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSE POINTE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-881-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.