NPIMap

Organization Active NPI

St. Vincent de Paul Detroit Dental

  • Dental Clinic/Center
  • Detroit, MI
National Provider Identifier
1437550514
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2902017311 Issued in MI
Legal business name
ST. VINCENT DE PAUL DETROIT DENTAL
Doing business as
St. Vincent de Paul Detroit Dental
Practice address
3000 Gratiot Ave
Detroit, MI 48207-2372
Phone
(313) 942-5957
NPI assigned
Sep 9, 2014
Last updated
Sep 9, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
THE SOCIETY OF ST. VINCENT DE PAUL IN THE ARCHDIOCESE OF DETROITAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Miss Nancy M Harmon, RDH
Title
Dental Director
Phone
(313) 393-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2902017311 MI Primary

Addresses

Primary practice location

3000 Gratiot Ave
Detroit, MI 48207-2372

Mailing address

3505 Harrison Ave
Rochester Hills, MI 48307-5633
Phone (248) 765-4665

Other names 1

  • St. Vincent de Paul Detroit Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Vincent de Paul Dental Clinic Detroit2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1437550514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 HARRISON AVE",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075633",
            "telephone_number": "248-765-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072372",
            "telephone_number": "313-942-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT DE PAUL DETROIT DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SOCIETY OF ST. VINCENT DE PAUL IN THE ARCHDIOCESE OF DETROIT",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "313-393-3009",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2902017311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent de Paul Detroit Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 9, 2014; 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.