Organization Active NPI

Deluxe Dental Associates PLLC

  • General Practice Dentistry
  • Flint, MI
National Provider Identifier
1376941773
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DELUXE DENTAL ASSOCIATES PLLC
Practice address
3760 S Dort Hwy
Flint, MI 48507
Phone
(248) 259-1015
NPI assigned
Dec 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Mr. Frank Kizy
Title
C F O
Phone
(248) 259-1015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3760 S Dort Hwy
Flint, MI 48507

Mailing address

3760 S Dort Hwy
Flint, MI 48507
Phone (248) 259-1015

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1376941773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 S DORT HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "248-259-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 S DORT HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "248-259-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "KIZY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "C F O",
        "authorized_official_telephone_number": "248-259-1015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.