Organization Active NPI

GD Mi PLLC

  • Dentist
  • Novi, MI
National Provider Identifier
1609411560
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GD MI PLLC
Practice address
24033 Meadowbrook Rd
Novi, MI 48375-3456
Phone
(248) 305-1689
NPI assigned
Nov 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Fred Weinberg
Title
Director of Operations
Phone
(412) 849-3919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

24033 Meadowbrook Rd
Novi, MI 48375-3456

Mailing address

22610 Shevington Dr
Southfield, MI 48034-6213
Phone (412) 849-3919

Other practice location 1

626 N Crooks Rd
Clawson, MI 48017-1310
Phone (248) 435-9215

Other practice location 2

21308 Mack Ave
Grosse Pointe Woods, MI 48236-1047
Phone (313) 881-8081

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1609411560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22610 SHEVINGTON DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480346213",
            "telephone_number": "412-849-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24033 MEADOWBROOK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753456",
            "telephone_number": "248-305-1689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 N Crooks Rd",
            "address_purpose": "LOCATION",
            "city": "Clawson",
            "state": "MI",
            "postal_code": "480171310",
            "country_code": "US",
            "telephone_number": "248-435-9215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21308 Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Woods",
            "state": "MI",
            "postal_code": "482361047",
            "country_code": "US",
            "telephone_number": "313-881-8081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GD MI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "412-849-3919"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.