Active NPI
GD Mi PLLC
- Dentist
- Novi, MI
National Provider Identifier
1609411560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryNPI 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.