Organization Active NPI

Family Practice Centre of Livonia, PC

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1619948114
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PRACTICE CENTRE OF LIVONIA, PC
Practice address
38253 Ann Arbor Rd
Livonia, MI 48150-3432
Phone
(734) 464-9200
Fax
(734) 464-0017
NPI assigned
Feb 1, 2006
Last updated
Mar 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Troy Merrill Smith, DONPI 1922078450
Title
Partner
Phone
(734) 464-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

38253 Ann Arbor Rd
Livonia, MI 48150-3432

Mailing address

38253 Ann Arbor Rd
Livonia, MI 48150-3432
Phone (734) 464-9200

Other practice location 1

8532 N Canton Center Rd
Canton, MI 48187-1310
Phone (734) 453-2151

National Provider Directory

National Provider Directory

Locations

1535 Momentum Pl
Chicago, IL 60689

8532 N Canton Center Rd
Canton, MI 48187
Phone (734) 453-2151

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1619948114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38253 ANN ARBOR RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503432",
            "telephone_number": "734-464-9200",
            "fax_number": "734-464-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38253 ANN ARBOR RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503432",
            "telephone_number": "734-464-9200",
            "fax_number": "734-464-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8532 N Canton Center Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481871310",
            "country_code": "US",
            "telephone_number": "734-453-2151",
            "fax_number": "734-453-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY PRACTICE CENTRE OF LIVONIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "MERRILL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "734-464-9200",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.