Organization Active NPI

Dr. Glenn Krieger & Associates PLLC

  • Medical Specialty Clinic/Center
  • West Bloomfield, MI
National Provider Identifier
1386866135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
B3480C Issued in MI
Legal business name
DR. GLENN KRIEGER & ASSOCIATES PLLC
Practice address
6450 Farmington Rd
Suite 105
West Bloomfield, MI 48322-4455
Phone
(248) 661-0100
Fax
(248) 661-5385
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Glenn D Krieger, M.D.
Title
Owner
Phone
(248) 661-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X B3480C MI Primary

Addresses

Primary practice location

6450 Farmington Rd
Suite 105
West Bloomfield, MI 48322-4455

Mailing address

6450 Farmington Rd
Suite 105
West Bloomfield, MI 48322-4455
Phone (248) 661-0100

National Provider Directory

National Provider Directory

Locations

6450 Farmington Rd
Ste 105
West Bloomfield, MI 48322
Phone (248) 661-0100

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386866135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 FARMINGTON RD",
            "address_2": "SUITE 105",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224455",
            "telephone_number": "248-661-0100",
            "fax_number": "248-661-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 FARMINGTON RD",
            "address_2": "SUITE 105",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224455",
            "telephone_number": "248-661-0100",
            "fax_number": "248-661-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GLENN KRIEGER & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-661-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "B3480C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.