Organization Active NPI

My Family Dental Novi PLLC

  • General Practice Dentistry
  • Southfield, MI
National Provider Identifier
1376096339
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MY FAMILY DENTAL NOVI PLLC
Practice address
18800 W 10 Mile Rd
Southfield, MI 48075-2654
Phone
(248) 569-6304
NPI assigned
Jul 26, 2016
Last updated
Jul 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Ephy Weinberg
Title
General Manager
Phone
(412) 849-3919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

18800 W 10 Mile Rd
Southfield, MI 48075-2654

Mailing address

24033 Meadowbrook Rd
Novi, MI 48375-3456
Phone (248) 569-6304

National Provider Directory

National Provider Directory

Locations

24033 Meadowbrook Rd
Novi, MI 48375
Phone (248) 347-3700

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1376096339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24033 MEADOWBROOK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753456",
            "telephone_number": "248-569-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752654",
            "telephone_number": "248-569-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY DENTAL NOVI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "EPHY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "412-849-3919"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.