Organization Active NPI

Dr. Lubyansky DDS, PLLC

  • Dental Clinic/Center
  • Novi, MI
National Provider Identifier
1407419963
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR. LUBYANSKY DDS, PLLC
Practice address
44725 Grand River Ave
Novi, MI 48375-1024
Phone
(248) 476-9121
NPI assigned
Apr 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Alison Lubyansky, DDSNPI 1346645603
Title
Owner
Phone
(734) 276-4902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

44725 Grand River Ave
Novi, MI 48375-1024

Mailing address

44725 Grand River Ave
Novi, MI 48375-1024
Phone (248) 476-9121

Other identifiers 1

IdentifierTypeStateIssuer
2901021210OtherMISTATE OF MI LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Alison B Lubyansky DDS2 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.

Locations

44725 Grand River Ave
Novi, MI 48375
Phone (248) 476-9121

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1407419963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44725 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751024",
            "telephone_number": "248-476-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44725 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751024",
            "telephone_number": "248-476-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LUBYANSKY DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "LUBYANSKY",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-276-4902",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MI LICENSE",
            "identifier": "2901021210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.