Alireza Daneshvar, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

2901020769 Issued in MI

Practice address

G3500 Flushing Rd Ste 107
Flint, MI 48504-4219

Phone

(810) 720-0611

Fax

(810) 720-0613

NPI assigned

Aug 13, 2012

Last updated

Aug 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Flint Family Dentistry

  • Dental Clinic/Center
  • Flint, MI
  • NPI 1669107819
  NPD Authorized official

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1437406170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3500 FLUSHING RD STE 107",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044219",
            "telephone_number": "810-720-0611",
            "fax_number": "810-720-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3500 FLUSHING RD STE 107",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044219",
            "telephone_number": "810-720-0611",
            "fax_number": "810-720-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHVAR",
        "first_name": "ALIREZA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Vincent Daly Jr., PA-C
• Hattan Damanhouri
• Damayanthi Pandrangi MD PC
• Daryl G Damron, PA-C
• Dan Daniels PC
• Daniel J Ryan MD PC
• Briona Marcel Daniel
• Alexis Daniels, LPN
• Kristen Lynn Daniels, OTR
• Stella Daniels, MA, LPC

• Dentist in Flint, MI
• Providers in Flint, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.