Active NPI
Luis Litonjua, DMD, DDS
- Periodontics
- Detroit, MI
National Provider Identifier
1487858585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 2901019487
- Practice address
- 2700 Martin Luther King Jr Blvd
Dept. of Periodontics
Detroit, MI 48208-2576 - Phone
- (313) 494-6660
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 2901019487 | MI | Primary |
Addresses
Primary practice location
2700 Martin Luther King Jr Blvd
Dept. of Periodontics
Detroit, MI 48208-2576
Mailing address
28900 Lancaster St
Apt. 48
Livonia, MI 48154-3861
Phone (734) 765-7525
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019487 | MI | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1487858585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28900 LANCASTER ST",
"address_2": "APT. 48",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481543861",
"telephone_number": "734-765-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 MARTIN LUTHER KING JR BLVD",
"address_2": "DEPT. OF PERIODONTICS",
"city": "DETROIT",
"state": "MI",
"postal_code": "482082576",
"telephone_number": "313-494-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITONJUA",
"first_name": "LUIS",
"name_prefix": "Dr.",
"credential": "DMD, DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MI",
"license": "2901019487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.