Mayce Manuel Kachi George, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901018612 Issued in MI

Practice address

31396 Northwestern Hwy Ste a
Farmington Hills, MI 48334-2534

Phone

(248) 254-3945

Fax

(248) 254-3827

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1386712131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31396 NORTHWESTERN HWY STE A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342534",
            "telephone_number": "248-254-3945",
            "fax_number": "248-254-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31396 NORTHWESTERN HWY STE A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342534",
            "telephone_number": "248-254-3945",
            "fax_number": "248-254-3827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6765 Orchard Lake Rd",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "48322",
            "country_code": "US",
            "telephone_number": "248-851-6166",
            "fax_number": "248-851-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACHI GEORGE",
        "first_name": "MAYCE",
        "middle_name": "MANUEL",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4542688",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abassanthony Kabia
• Umu Kabia
• Nadia Kablaoui
• Umwari Kabundi
• Mark A Kachadurian, DO
• Sarah Kacic
• Madelyn Kaczmarcyk
• Alex Kaddis, DO
• Michael Kadeg
• Areej Kadhim

• Dentist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.