Organization Active NPI

Lapeer Family Dental PLLC

  • General Practice Dentistry
  • Sterling Heights, MI
National Provider Identifier
1457131682
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAPEER FAMILY DENTAL PLLC
Practice address
2720 Burningbush Dr
Sterling Heights, MI 48314-4526
Phone
(586) 709-4210
NPI assigned
Oct 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Mazin Kizy, DDSNPI 1447209077
Title
DDS
Phone
(586) 709-4210

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 Primary

Addresses

Primary practice location

2720 Burningbush Dr
Sterling Heights, MI 48314-4526

Mailing address

2720 Burningbush Dr
Sterling Heights, MI 48314-4526

Other names 1

  • Advanced Dental Lapeer Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1457131682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 BURNINGBUSH DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483144526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 BURNINGBUSH DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483144526",
            "telephone_number": "586-709-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPEER FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "KIZY",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "586-709-4210",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Lapeer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.