Individual provider Active NPI

Joseph Edward Spyrka, DDS

  • Dentist
  • Canton, MI
National Provider Identifier
1619608973
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2951000901 Issued in MI
Practice address
42301 Cherry Hill Rd
Canton, MI 48188-9801
Phone
(734) 981-4040
NPI assigned
Jun 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2951000901 MI Primary

Addresses

Primary practice location

42301 Cherry Hill Rd
Canton, MI 48188-9801

Mailing address

16868 Lochmoor Cir E
Northville, MI 48168-4401
Phone (248) 880-2278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220812001413 MI Order and Referring Only - DentistPractitioner - Dentist 0840673539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: jspyrka1853294@direct.trinity-health.org

NPI Registry JSON

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1619608973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16868 LOCHMOOR CIR E",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684401",
            "telephone_number": "248-880-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42301 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481889801",
            "telephone_number": "734-981-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPYRKA",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-18",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2951000901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.