Individual provider Active NPI

Nimrat Dhillon, DDS

  • General Practice Dentistry
  • Taylor, MI
National Provider Identifier
1497806723
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16794 Issued in MI
Practice address
25721 Goddard Rd
Taylor, MI 48180-3974
Phone
(734) 946-7700
Fax
(734) 946-4808
NPI assigned
Jan 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16794 MI Primary

Addresses

Primary practice location

25721 Goddard Rd
Taylor, MI 48180-3974

Mailing address

45728 Larchmont Dr
Canton, MI 48187-4717
Phone (734) 254-0185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151111001636 MI Order and Referring Only - DentistPractitioner - Dentist 0840500443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16794MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fassel P.C. General Practice PastSince Oct 9, 2022 Accepting new patients
Dentistry.Calm General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497806723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45728 LARCHMONT DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874717",
            "telephone_number": "734-254-0185",
            "fax_number": "734-946-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25721 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803974",
            "telephone_number": "734-946-7700",
            "fax_number": "734-946-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "NIMRAT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.