Organization Active NPI

American Professional Pedodontics

Doing business as Great Expression Dental Centers

  • Pediatric Dentistry
  • Bloomfield Hills, MI
National Provider Identifier
1568508356
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
AMERICAN PROFESSIONAL PEDODONTICS
Doing business as
Great Expression Dental Centers
Practice address
300 E Long Lake Rd
Ste 311
Bloomfield Hills, MI 48304
Phone
(248) 203-1100
Fax
(248) 203-1112
NPI assigned
Jan 29, 2007
Last updated
Mar 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Richard E Beckman
Title
Ceo
Phone
(248) 203-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

300 E Long Lake Rd
Ste 311
Bloomfield Hills, MI 48304

Mailing address

300 E Long Lake Rd
Ste 311
Bloomfield Hills, MI 48304
Phone (248) 203-1100

Other names 1

  • Great Expression Dental Centers Doing business as

National Provider Directory

National Provider Directory

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": "1426118400000",
    "number": "1568508356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LONG LAKE RD",
            "address_2": "STE 311",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48304",
            "telephone_number": "248-203-1100",
            "fax_number": "248-203-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LONG LAKE RD",
            "address_2": "STE 311",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48304",
            "telephone_number": "248-203-1100",
            "fax_number": "248-203-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PROFESSIONAL PEDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "BECKMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-203-1100"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Expression Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.