Active NPI
Stephen J Krawiec Ddspc
- Dental Clinic/Center
- Detroit, MI
National Provider Identifier
1497355739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- STEPHEN J KRAWIEC DDSPC
- Doing business as
- Stephen J Krawiec DDSPC
- Practice address
- 18400 Grand River Ave
Detroit, MI 48223-2317 - Phone
- (313) 836-1111
- NPI assigned
- Oct 27, 2020
- Last updated
- Oct 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen John Krawiec, DDS
- Title
- President
- Phone
- (313) 836-1111
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
18400 Grand River Ave
Detroit, MI 48223-2317
Mailing address
18400 Grand River Ave
Detroit, MI 48223-2317
Phone (313) 836-1111
Other names 1
- Stephen J Krawiec DDSPC
National Provider Directory
National Provider DirectoryLocations
18400 Grand River Ave
Detroit, MI 48223
Phone (313) 836-1111
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Detroit, MI
- NPI 1497976005
-
- General Practice Dentistry
- Detroit, MI
- NPI 1407015605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603756800000",
"number": "1497355739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18400 GRAND RIVER AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482232317",
"telephone_number": "313-836-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18400 GRAND RIVER AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482232317",
"telephone_number": "313-836-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN J KRAWIEC DDSPC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A",
"authorized_official_last_name": "KRAWIEC",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-836-1111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stephen J Krawiec DDSPC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 27, 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.