Active NPI
Michael Direzze, DDS, PLLC
- General Practice Dentistry
- Grosse Pointe Woods, MI
National Provider Identifier
1598443483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MICHAEL DIREZZE, DDS, PLLC
- Practice address
- 20323 Mack Ave
Grosse Pointe Woods, MI 48236-1717 - Phone
- (313) 881-0077
- NPI assigned
- Jul 10, 2023
- Last updated
- Jul 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Direzze, DDS
- Title
- Owner
- Phone
- (810) 223-8189
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
20323 Mack Ave
Grosse Pointe Woods, MI 48236-1717
Mailing address
20323 Mack Ave
Grosse Pointe Woods, MI 48236-1717
Phone (313) 881-0077
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Dentistry
- Grosse Pointe Woods, MI
- NPI 1134686603
-
- Prosthodontics
- Grosse Pointe Woods, MI
- NPI 1154420644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689552000000",
"number": "1598443483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20323 MACK AVE",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361717",
"telephone_number": "313-881-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20323 MACK AVE",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361717",
"telephone_number": "313-881-0077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL DIREZZE, DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A",
"authorized_official_last_name": "DIREZZE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-223-8189",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.