Individual provider Active NPI

Algirdas Vaitas, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Birmingham, MI
National Provider Identifier
1447397179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901014987 Issued in MI
Practice address
620 N Old Woodward Ave
#301
Birmingham, MI 48009-3855
Phone
(248) 647-1924
Fax
(248) 647-0278
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2901014987 MI Primary

Addresses

Primary practice location

620 N Old Woodward Ave
#301
Birmingham, MI 48009-3855

Mailing address

620 N Old Woodward Ave
#301
Birmingham, MI 48009-3855
Phone (248) 647-1924

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

LicenseStateTypeSpecialty
2901014987MIMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447397179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N OLD WOODWARD AVE",
            "address_2": "#301",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093855",
            "telephone_number": "248-647-1924",
            "fax_number": "248-647-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N OLD WOODWARD AVE",
            "address_2": "#301",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093855",
            "telephone_number": "248-647-1924",
            "fax_number": "248-647-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAITAS",
        "first_name": "ALGIRDAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901014987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.