Individual provider Active NPI

Pranit Vasant Bora, BDS, MDS, MSD

  • Dentist
  • Farmington Hills, MI
National Provider Identifier
1457106874
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2952000868 Issued in MI
Practice address
35454 Ravine Blvd
Farmington Hills, MI 48335-2467
Phone
(205) 587-4025
NPI assigned
Apr 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2952000868 MI Primary

Addresses

Primary practice location

35454 Ravine Blvd
Farmington Hills, MI 48335-2467

Mailing address

35454 Ravine Blvd # 23206
Farmington Hills, MI 48335-2467
Phone (205) 587-4025

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
2952000868MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1457106874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35454 RAVINE BLVD # 23206",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352467",
            "telephone_number": "205-587-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35454 RAVINE BLVD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352467",
            "telephone_number": "205-587-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORA",
        "first_name": "PRANIT",
        "middle_name": "VASANT",
        "name_prefix": "Dr.",
        "credential": "BDS, MDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-19",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2952000868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.