Organization Active NPI

Elite Family Dental

  • Dentist
  • Novi, MI
National Provider Identifier
1417824863
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ELITE FAMILY DENTAL
Practice address
42450 W Twelve Mile Rd Ste 200
Novi, MI 48377-3011
Phone
(248) 348-8808
NPI assigned
Oct 21, 2025
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Farah Nasser, DDS
Title
Owner/Dentist
Phone
(734) 437-4306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

42450 W Twelve Mile Rd Ste 200
Novi, MI 48377-3011

Mailing address

42450 W Twelve Mile Rd Ste 200
Novi, MI 48377-3011
Phone (248) 348-8808

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1417824863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42450 W TWELVE MILE RD STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773011",
            "telephone_number": "248-348-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 W TWELVE MILE RD STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773011",
            "telephone_number": "248-348-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "734-437-4306",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 27, 2025; 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.