NPIMap

Organization Active NPI

Sterling Endodontics PC

  • Endodontics
  • Sterling HGTS, MI
National Provider Identifier
1467679373
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2901008572 Issued in MI
Legal business name
STERLING ENDODONTICS PC
Practice address
41400 Dequindre
Suite 125
Sterling HGTS, MI 48314
Phone
(586) 726-1999
Fax
(586) 726-6740
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. George T Goodis, DDSNPI 1770797052
Title
Owner
Phone
(313) 886-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2901008572 MI Primary

Addresses

Primary practice location

41400 Dequindre
Suite 125
Sterling HGTS, MI 48314

Mailing address

41400 Dequindre
Suite 125
Sterling HGTS, MI 48314
Phone (586) 726-1999

National Provider Directory

National Provider Directory

Locations

41400 Dequindre Rd
Ste 125
Sterling Heights, MI 48314

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467679373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE",
            "address_2": "SUITE 125",
            "city": "STERLING HGTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-726-1999",
            "fax_number": "586-726-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE",
            "address_2": "SUITE 125",
            "city": "STERLING HGTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-726-1999",
            "fax_number": "586-726-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-886-4040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901008572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling HGTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.