Organization Active NPI

New You Dental Management- Southfield

  • Dental Clinic/Center
  • Southfield, MI
National Provider Identifier
1619561503
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NEW YOU DENTAL MANAGEMENT- SOUTHFIELD
Practice address
30555 Southfield Rd Ste 310
Southfield, MI 48076-7752
Phone
(248) 595-0161
Fax
(248) 281-5128
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Jane Paisopoulos, COO
Title
Chief Operations Officer
Phone
(248) 595-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

30555 Southfield Rd Ste 310
Southfield, MI 48076-7752

Mailing address

23225 Northwestern Hwy
Southfield, MI 48075-7707
Phone (248) 595-0161

National Provider Directory

National Provider Directory

Locations

30555 Southfield Rd
Ste 310
Southfield, MI 48076
Phone (248) 595-0161

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1619561503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23225 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757707",
            "telephone_number": "248-595-0161",
            "fax_number": "248-281-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30555 SOUTHFIELD RD STE 310",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767752",
            "telephone_number": "248-595-0161",
            "fax_number": "248-281-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YOU DENTAL MANAGEMENT- SOUTHFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "PAISOPOULOS",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "248-595-0161",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.