Organization Active NPI

Dr Alexander N Masters Dr Sophia P Masters and Assoc PC

  • General Practice Dentistry
  • Clinton TWP, MI
National Provider Identifier
1528104445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR ALEXANDER N MASTERS DR SOPHIA P MASTERS AND ASSOC PC
Practice address
37546 Gratiot Ave
Clinton TWP, MI 48036
Phone
(586) 463-8635
Fax
(586) 463-8622
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alexander N Masters, DDSNPI 1447378666
Title
Owner
Phone
(586) 463-8635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

37546 Gratiot Ave
Clinton TWP, MI 48036

Mailing address

37546 Gratiot Ave
Clinton TWP, MI 48036
Phone (586) 463-8635

National Provider Directory

National Provider Directory

Locations

37546 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 463-8635

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528104445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37546 GRATIOT AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-463-8635",
            "fax_number": "586-463-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37546 GRATIOT AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-463-8635",
            "fax_number": "586-463-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALEXANDER N MASTERS DR SOPHIA P MASTERS AND ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-463-8635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.