Individual provider Active NPI

Lidija Filipovska-Smith, D.D.S.

  • General Practice Dentistry
  • Redford, MI
National Provider Identifier
1558633818
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901014815 Issued in MI
Practice address
25106 West Six Mile Rd.
Redford, MI 48240
Phone
(313) 537-5300
Fax
(313) 537-5310
NPI assigned
Feb 2, 2012
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901014815 MI Primary

Addresses

Primary practice location

25106 West Six Mile Rd.
Redford, MI 48240

Mailing address

31574 Schoolcraft Rd
Livonia, MI 48150-1805
Phone (313) 537-5300

Other names 1

  • Dr. Lidija Filipovska Former name

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
I20160412001969 MI Order and Referring Only - DentistPractitioner - Dentist 7214235167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901014815MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1558633818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31574 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501805",
            "telephone_number": "313-537-5300",
            "fax_number": "313-537-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25106 WEST SIX MILE RD.",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "48240",
            "telephone_number": "313-537-5300",
            "fax_number": "313-537-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIPOVSKA-SMITH",
        "first_name": "LIDIJA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIDIJA",
            "last_name": "FILIPOVSKA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redford, MI

Sources for this page

Verify at the official NPI Registry.