Organization Active NPI

Dundee Pediatrics, PLLC

  • Exclusive Provider Organization
  • Dundee, MI
National Provider Identifier
1447689302
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
4704269680 Issued in MI
Legal business name
DUNDEE PEDIATRICS, PLLC
Practice address
120 Waterstradt Commerce Dr
Suite 1
Dundee, MI 48131-9681
Phone
(734) 823-5437
Fax
(734) 823-5436
NPI assigned
Nov 1, 2013
Last updated
Nov 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Dr. Michelle Lee Daill, MDNPI 1194785733
Title
Physician/Owner
Phone
(734) 823-5437

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
Exclusive Provider Organization 302F00000X 4704269680 MI Primary

Addresses

Primary practice location

120 Waterstradt Commerce Dr
Suite 1
Dundee, MI 48131-9681

Mailing address

120 Waterstradt Commerce Dr
Suite 1
Dundee, MI 48131-9681
Phone (734) 823-5437

National Provider Directory

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": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1447689302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WATERSTRADT COMMERCE DR",
            "address_2": "SUITE 1",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481319681",
            "telephone_number": "734-823-5437",
            "fax_number": "734-823-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WATERSTRADT COMMERCE DR",
            "address_2": "SUITE 1",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481319681",
            "telephone_number": "734-823-5437",
            "fax_number": "734-823-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDEE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "DAILL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "734-823-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MI",
            "license": "4704269680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.