Organization Active NPI

Jim Madany

  • Dental Clinic/Center
  • Troy, MI
National Provider Identifier
1467127167
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JIM MADANY
Practice address
3515 Rochester Rd
Troy, MI 48083-5212
Phone
(248) 689-2041
Fax
(248) 689-2160
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Judy Hoenicke
Title
Practice Administrator
Phone
(248) 689-2041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3515 Rochester Rd
Troy, MI 48083-5212

Mailing address

3515 Rochester Rd
Troy, MI 48083-5212
Phone (248) 689-2041

National Provider Directory

National Provider Directory

Locations

3515 Rochester Rd
Troy, MI 48083
Phone (248) 689-2041

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": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1467127167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835212",
            "telephone_number": "248-689-2041",
            "fax_number": "248-689-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835212",
            "telephone_number": "248-689-2041",
            "fax_number": "248-689-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM MADANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "HOENICKE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "248-689-2041"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.