Dr. Siv's Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. SIV'S DENTISTRY PLLC

Practice address

21219 Mack Ave
Grosse Pointe Woods, MI 48236-1045

Phone

(313) 882-7961

Fax

(313) 882-8630

NPI assigned

Apr 1, 2024

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley White

Title

Office Manager

Phone

(313) 882-7961

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Sudarvizhi Sivaraman, D.M.D

  • General Practice Dentistry
  • Grosse Pointe Woods, MI
  • NPI 1972028488
  NPD
• Mark F Kusch, DDS

  • Dentist
  • Grosse Pointe Woods, MI
  • NPI 1003907643
  NPD (past)
• Paul G Raubolt, DDS

  • Dentist
  • Grosse Pointe Woods, MI
  • NPI 1922199561
  NPD (past)

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1457102980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21219 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361045",
            "telephone_number": "313-882-7961",
            "fax_number": "313-882-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21219 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361045",
            "telephone_number": "313-882-7961",
            "fax_number": "313-882-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SIV'S DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-882-7961"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keanna Jaleesa Dildy
• Michael Direzze, DDS
• Jamika Donald
• Winona Sage Dothard
• Kourtney Douglas
• Kathleen Gibney Drawbaugh, DDS
• Amy Elizabeth Due
• Carrie L Dul, M.D.
• Miya Dumas
• Nicole Erin Durkin, NP

• Dental Clinic/Center in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.