Individual provider Active NPI

Anca Iuliana Nastasa

  • Dentist
  • Sterling Heights, MI
National Provider Identifier
1518121920
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019889 Issued in MI
Practice address
2041 Fifteen Mile Rd
Great Expressional Dental Centers
Sterling Heights, MI 48310
Phone
(586) 268-0900
Fax
(586) 268-0909
NPI assigned
Jul 15, 2008
Last updated
Jan 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901019889 MI Primary

Addresses

Primary practice location

2041 Fifteen Mile Rd
Great Expressional Dental Centers
Sterling Heights, MI 48310

Mailing address

300 E Lonk Lake Ste 311
Great Expressions Dental Centers
Bloomfield Hills, MI 48304
Phone (248) 203-1119

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
I20160108000477 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0345542270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901019889MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Art Dental Center Current Accepting new patients

Organizations & group practices 1

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1518121920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LONK LAKE STE 311",
            "address_2": "GREAT EXPRESSIONS DENTAL CENTERS",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48304",
            "telephone_number": "248-203-1119",
            "fax_number": "248-723-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 FIFTEEN MILE RD",
            "address_2": "GREAT EXPRESSIONAL DENTAL CENTERS",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-268-0900",
            "fax_number": "586-268-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASTASA",
        "first_name": "ANCA",
        "middle_name": "IULIANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.