Active NPI
Rhonda A Zade-Mitchell, DDS
- Dentist
- Grosse Pointe, MI
National Provider Identifier
1588733653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901013679
- Practice address
- 19475 Mack Ave
Grosse Pointe, MI 48236-2840 - Phone
- (313) 884-0715
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901013679 | MI | Primary |
Addresses
Primary practice location
19475 Mack Ave
Grosse Pointe, MI 48236-2840
Mailing address
19475 Mack Ave
Grosse Pointe, MI 48236-2840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4798826 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1588733653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19475 MACK AVE",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482362840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19475 MACK AVE",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482362840",
"telephone_number": "313-884-0715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZADE-MITCHELL",
"first_name": "RHONDA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901013679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4798826",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.