Active NPI
Nancy Ann Poznick, DDS
- Dentist
- Detroit, MI
National Provider Identifier
1396733606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901018487
- Practice address
- 2700 Martin Luther King Jr Blvd
University of Detroit Mercy
Detroit, MI 48208-2576 - Phone
- (313) 494-6700
- NPI assigned
- Oct 11, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901018487 | MI | Primary |
Addresses
Primary practice location
2700 Martin Luther King Jr Blvd
University of Detroit Mercy
Detroit, MI 48208-2576
Mailing address
2700 Martin Luther King Jr Blvd
University of Detroit Mercy
Detroit, MI 48208-2576
Phone (313) 494-6700
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381908328 | Other | GOLDEN DENTAL PLANS | |
| 381908328 | Other | DENTAL HEALTH ALLIANCE | |
| 88096MI | Other | WADSWORTH | |
| 4473491 | Medicaid | MI | |
| 88123MI | Other | BAYSIDE | |
| 381908328 | Other | DENTEMAX | |
| 381908328 | Other | METLIFE | |
| 88171MI | Other | COMMERCE | |
| 381908328020 | Other | DENTAL BLUE | |
| 381908328 | Other | GUARDIAN | |
| 88170MI | Other | OUTER DRIVE | |
| D801095 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901018487 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1396733606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 MARTIN LUTHER KING JR BLVD",
"address_2": "UNIVERSITY OF DETROIT MERCY",
"city": "DETROIT",
"state": "MI",
"postal_code": "482082576",
"telephone_number": "313-494-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 MARTIN LUTHER KING JR BLVD",
"address_2": "UNIVERSITY OF DETROIT MERCY",
"city": "DETROIT",
"state": "MI",
"postal_code": "482082576",
"telephone_number": "313-494-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POZNICK",
"first_name": "NANCY",
"middle_name": "ANN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-11",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901018487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOLDEN DENTAL PLANS",
"identifier": "381908328",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HEALTH ALLIANCE",
"identifier": "381908328",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WADSWORTH",
"identifier": "88096MI",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4473491",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BAYSIDE",
"identifier": "88123MI",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTEMAX",
"identifier": "381908328",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METLIFE",
"identifier": "381908328",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCE",
"identifier": "88171MI",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL BLUE",
"identifier": "381908328020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN",
"identifier": "381908328",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUTER DRIVE",
"identifier": "88170MI",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "D801095",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.