Active NPI
Grace A Curcuru, DDS
- General Practice Dentistry
- Detorit, MI
National Provider Identifier
1407928955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901016130
- Practice address
- 2700 Martin Luther Blvd
University of Detroit Mercy School of Dentistry
Detorit, MI 48208 - Phone
- (313) 494-6700
- NPI assigned
- Nov 13, 2006
- Last updated
- Aug 20, 2021
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901016130 | MI | Primary |
Addresses
Primary practice location
2700 Martin Luther Blvd
University of Detroit Mercy School of Dentistry
Detorit, MI 48208
Mailing address
33670 24 Mile Rd
New Baltimore, MI 48047-3122
Phone (586) 725-9398
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901016130 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dental Clinic PC | General Practice | Past | Accepting new patients |
| Galayda & Shackleford DDS PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Dental Clinic
- General Practice Dentistry
- Lincoln Park, MI
- NPI 1265975551
-
- General Practice Dentistry
- Lincoln Park, MI
- NPI 1003929662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1407928955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33670 24 MILE RD",
"city": "NEW BALTIMORE",
"state": "MI",
"postal_code": "480473122",
"telephone_number": "586-725-9398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 MARTIN LUTHER BLVD",
"address_2": "UNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY",
"city": "DETORIT",
"state": "MI",
"postal_code": "48208",
"telephone_number": "313-494-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURCURU",
"first_name": "GRACE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2021-08-20",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901016130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detorit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.