Organization Active NPI

Herbert J. Elfring Jr., D.D.S., P.C.

  • Dentist
  • Novi, MI
National Provider Identifier
1538401575
Registry record updated Mar 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14373 Issued in MI
Legal business name
HERBERT J. ELFRING JR., D.D.S., P.C.
Practice address
40255 Grand River Ave Ste 200
Novi, MI 48375-2149
Phone
(248) 442-0400
NPI assigned
Mar 16, 2013
Last updated
Mar 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2013

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

Authorized official

Name
Dr. Brian H Andress, D.D.S.NPI 1053535914
Title
Vice President/Dentist
Phone
(248) 442-0400

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
Dentist 122300000X 14373 MI Primary

Addresses

Primary practice location

40255 Grand River Ave Ste 200
Novi, MI 48375-2149

Mailing address

40255 Grand River Ave Ste 200
Novi, MI 48375-2149
Phone (248) 442-0400

Other identifiers 3

IdentifierTypeStateIssuer
1457672669OtherMIDENTIST NPI
1053535914OtherMIDENTIST NPI
1184747412OtherMIDENTIST NPI

National Provider Directory

National Provider Directory

Locations

40255 Grand River Ave
Ste 200
Novi, MI 48375
Phone (248) 442-0400

Practitioners & affiliated clinicians

Practitioners 6

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": "1363392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363392000000",
    "number": "1538401575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40255 GRAND RIVER AVE STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752149",
            "telephone_number": "248-442-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40255 GRAND RIVER AVE STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752149",
            "telephone_number": "248-442-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT J. ELFRING JR., D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-16",
        "last_updated": "2013-03-16",
        "status": "A",
        "authorized_official_last_name": "ANDRESS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "248-442-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "14373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST NPI",
            "identifier": "1457672669",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST NPI",
            "identifier": "1053535914",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST NPI",
            "identifier": "1184747412",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2013; 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.