Active NPI
Especially for Kids, P.C.
- Pediatric Dentistry
- Southfield, MI
National Provider Identifier
1518017789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 13198
- Legal business name
- ESPECIALLY FOR KIDS, P.C.
- Practice address
- 25811 W 12 Mile Rd
Suite 202
Southfield, MI 48034 - Phone
- (248) 559-5554
- Fax
- (248) 559-3114
- NPI assigned
- Jan 11, 2007
- 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. Angela M Rogers, DMD,MS
- Title
- Pediatric Dentist
- Phone
- (248) 559-5554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 13198 | MI | Primary |
Addresses
Primary practice location
25811 W 12 Mile Rd
Suite 202
Southfield, MI 48034
Mailing address
25811 W. 12 Mile Rd
Suite 202
Southfield, MI 48034
Phone (248) 559-5554
National Provider Directory
National Provider DirectoryLocations
25811 W 12 Mile Rd
Ste 202
Southfield, MI 48034
Phone (248) 559-5554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460419200000",
"number": "1518017789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25811 W. 12 MILE RD",
"address_2": "SUITE 202",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48034",
"telephone_number": "248-559-5554",
"fax_number": "248-559-3114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25811 W 12 MILE RD",
"address_2": "SUITE 202",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48034",
"telephone_number": "248-559-5554",
"fax_number": "248-559-3114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESPECIALLY FOR KIDS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2016-04-12",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "248-559-5554",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD,MS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MI",
"license": "13198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.