Creative Dentistry of Livonia PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CREATIVE DENTISTRY OF LIVONIA PLLC

Practice address

31215 5 Mile Rd
Livonia, MI 48154-3627

Phone

(248) 872-2213

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Viraj Shah, DDSNPI 1194770628

Title

Owner

Phone

(248) 872-2213

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Viraj V Shah, D.D.S.

  • General Practice Dentistry
  • Sterling Heights, MI
  • NPI 1194770628
  NPD Authorized official

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1376126185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 PEMBROKE DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31215 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543627",
            "telephone_number": "248-872-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE DENTISTRY OF LIVONIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VIRAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-872-2213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194770628",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Louise Crampton, DPT
• Brooke Anne Crandall, DC
• Jalena Alexis Cranford, LPN
• Erica Crawford
• Lauren Crawford
• Nia Creighton, BEHAVIOR TECHNICIAN
• Geno Crews
• Alexandria Nicole Cripps
• Wendy A Crissman, CCP
• Stephen David Crocker, D.D.S.

• Dentist in Livonia, MI
• Providers in Livonia, MI by specialty
• Dentist in Michigan

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