NPIMap

Organization Active NPI

My Kids Doc Novi PLLC

  • Pediatrics Physician
  • Novi, MI
National Provider Identifier
1457459190
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MY KIDS DOC NOVI PLLC
Practice address
41935 W 12 Mile Rd
Suite 102
Novi, MI 48377-3111
Phone
(248) 347-8040
Fax
(248) 305-6179
NPI assigned
Sep 20, 2006
Last updated
Jan 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Dr. Jeffrey Lee Dembs, MDNPI 1417055229
Title
Partner
Phone
(248) 347-8040

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
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

41935 W 12 Mile Rd
Suite 102
Novi, MI 48377-3111

Mailing address

41935 W 12 Mile Rd
Suite 102
Novi, MI 48377-3111
Phone (248) 347-8040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1457459190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41935 W 12 MILE RD",
            "address_2": "SUITE 102",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773111",
            "telephone_number": "248-347-8040",
            "fax_number": "248-305-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41935 W 12 MILE RD",
            "address_2": "SUITE 102",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773111",
            "telephone_number": "248-347-8040",
            "fax_number": "248-305-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY KIDS DOC NOVI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "DEMBS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-347-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.