Andrea Susan Vivian, DDS, RPH

Primary specialty

DentistTaxonomy code 122300000X

License

2901014159 Issued in MI

Practice address

50475 Fellows Hill Dr
Plymouth, MI 48170-6351

Phone

(734) 453-7948

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andrea S. Vivian, DDS, PC

  • General Practice Dentistry
  • Plymouth, MI
  • NPI 1225041858
  NPD (past) Authorized official

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1447263181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50475 FELLOWS HILL DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706351",
            "telephone_number": "734-453-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50475 FELLOWS HILL DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706351",
            "telephone_number": "734-453-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIAN",
        "first_name": "ANDREA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DDS, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302022074",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901014159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Virgi
• Ruvaid Virk
• Mary Visel
• Alyssa Visockis
• Pavithra Viswanathan, RPT
• Steve J Vlahakis, DDS
• Theresa Vo
• Cailin Vogel, SLP
• Karen Vogt, LLMFT
• Olga Vojnovic-Fireman, M,A., B.C.B.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; 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.