Organization Active NPI

Rekha Palli Dental PC

  • Dentist
  • Northville, MI
National Provider Identifier
1568907152
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020008 Issued in MI
Legal business name
REKHA PALLI DENTAL PC
Practice address
48224 Heather CT
Northville, MI 48168-8530
Phone
(248) 756-7258
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Dr. Rekha Madhuri Palli, DDS
Title
General Dentist
Phone
(248) 756-7258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020008 MI Primary

Addresses

Primary practice location

48224 Heather CT
Northville, MI 48168-8530

Mailing address

4081 S Canton Center Rd
Canton, MI 48188-2488

National Provider Directory

National Provider Directory

Locations

4081 S Canton Center Rd
Canton, MI 48188
Phone (734) 398-0515

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1568907152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 S CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48224 HEATHER CT",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688530",
            "telephone_number": "248-756-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REKHA PALLI DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "PALLI",
        "authorized_official_first_name": "REKHA",
        "authorized_official_middle_name": "MADHURI",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "248-756-7258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.