District Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901014040 Issued in MI

Legal business name

DISTRICT DENTAL CENTER

Practice address

15064 Houston Whittier St
Detroit, MI 48205-4127

Phone

(313) 535-5200

Fax

(313) 535-0011

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Mavis D Phillips

Title

Office Manager

Phone

(313) 535-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

District Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Felix K Korto DDS PC

  • Dentist
  • Detroit, MI
  • NPI 1912076654
  NPD tax ID

Locations

Practitioners 1

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

• Felix K Korto, DDS

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1689753048
  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1376879742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15064 HOUSTON WHITTIER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482054127",
            "telephone_number": "313-535-5200",
            "fax_number": "313-535-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15064 HOUSTON WHITTIER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482054127",
            "telephone_number": "313-535-5200",
            "fax_number": "313-535-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MAVIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-535-5200"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1908675",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Discount Uniforms&More
• Jaribeth Disla, LMSW
• Gabrielle Amanda Dismuke, M.T.
• Tulani Dismuke
• Maria Distler
• District Physical Therapy LLC
• Lydia C Ditirro, DO
• Catherine Cylkowski Ditri, CSW
• Aiswarya Divagaran, PHARMD
• Diversified Community Services

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.