Individual provider Active NPI

Florenthia Lavon Dunwoody

  • Prosthetic/Orthotic Supplier
  • Southfield, MI
National Provider Identifier
1487526885
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
2701181221 Issued in MI
Practice address
29746 Southfield Rd # 302
302
Southfield, MI 48076-2088
Phone
(313) 629-8425
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 2701181221 MI Primary

Addresses

Primary practice location

29746 Southfield Rd # 302
302
Southfield, MI 48076-2088

Mailing address

29746 Southfield Rd # 302
Southfield, MI 48076-2088
Phone (313) 629-8425

Other identifiers 1

IdentifierTypeStateIssuer
1376998682MedicaidMI

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
2701181221MIMDProsthetic/Orthotic Supplier

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1487526885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29746 SOUTHFIELD RD # 302",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762088",
            "telephone_number": "313-629-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29746 SOUTHFIELD RD # 302",
            "address_2": "302",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762088",
            "telephone_number": "313-629-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNWOODY",
        "first_name": "FLORENTHIA",
        "middle_name": "LAVON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "2701181221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376998682",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.