NPIMap

Organization Active NPI

Douglas D. Fogel D.D.S., P.C.

  • General Practice Dentistry
  • Southfield, MI
National Provider Identifier
1447424452
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14207 Issued in MI
Legal business name
DOUGLAS D. FOGEL D.D.S., P.C.
Practice address
20100 W 12 Mile Rd
Southfield, MI 48076-2437
Phone
(248) 353-5010
Fax
(248) 353-5005
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Douglas D. Fogel, D.D.S.NPI 1245356997
Title
President
Phone
(248) 353-5010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14207 MI Primary

Addresses

Primary practice location

20100 W 12 Mile Rd
Southfield, MI 48076-2437

Mailing address

20100 W 12 Mile Rd
Southfield, MI 48076-2437
Phone (248) 353-5010

National Provider Directory

National Provider Directory

Locations

20100 W 12 Mile Rd
Southfield, MI 48076
Phone (248) 353-5010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1447424452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762437",
            "telephone_number": "248-353-5010",
            "fax_number": "248-353-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762437",
            "telephone_number": "248-353-5010",
            "fax_number": "248-353-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS D. FOGEL D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-353-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.