Fadi George Keyorkgy, DDS, MSD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016598 Issued in MI

Practice address

16068 E 8 Mile Rd
Detroit, MI 48205-1416

Phone

(313) 372-8580

Fax

(313) 372-7739

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Eastland Family Dentistry

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1285880872
  NPD (past) Authorized official
• Eastside Family Dentistry

  • General Practice Dentistry
  • Shelby Township, MI
  • NPI 1649595232
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1508908492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48926 SCHOENHERR RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154240",
            "telephone_number": "586-566-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16068 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051416",
            "telephone_number": "313-372-8580",
            "fax_number": "313-372-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYORKGY",
        "first_name": "FADI",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Key to Life Care Agency
• Lamescia Key
• Richetta Key
• Rick Key
• Kimberly Keyes
• Christopher Lee Keys
• Gregory Keys, D.D.S.
• Lynne E Keys, RN
• Mary Lynn Keys
• Lisa Belinda Keyser

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.