NPIMap

Organization Active NPI

Dundee Pediatrics, PLLC

  • Primary Care Clinic/Center
  • Dundee, MI
National Provider Identifier
1508065905
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301089200 Issued in MI
Legal business name
DUNDEE PEDIATRICS, PLLC
Practice address
120 Waterstradt-Commerce Drive
Suite 1
Dundee, MI 48131
Phone
(734) 823-5437
Fax
(734) 240-3326
NPI assigned
Jul 16, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Michelle Lee Daill, M.D.NPI 1194785733
Title
Sole Member
Phone
(734) 823-5437

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
Primary Care Clinic/Center 261QP2300X 4301089200 MI Primary

Addresses

Primary practice location

120 Waterstradt-Commerce Drive
Suite 1
Dundee, MI 48131

Mailing address

120 Waterstradt-Commerce Drive
Suite 1
Dundee, MI 48131
Phone (734) 823-5437

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1508065905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WATERSTRADT-COMMERCE DRIVE",
            "address_2": "SUITE 1",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "48131",
            "telephone_number": "734-823-5437",
            "fax_number": "734-240-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WATERSTRADT-COMMERCE DRIVE",
            "address_2": "SUITE 1",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "48131",
            "telephone_number": "734-823-5437",
            "fax_number": "734-240-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDEE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "DAILL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "734-823-5437",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301089200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.