Active NPI
Amy Noble Isenberg, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Bloomfield, MI
National Provider Identifier
1629329933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2901020618
- Practice address
- 2300 Haggerty Rd
West Bloomfield, MI 48323-2184 - Phone
- (248) 926-4100
- NPI assigned
- Sep 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901020618 | MI | Primary |
Addresses
Primary practice location
2300 Haggerty Rd
West Bloomfield, MI 48323-2184
Mailing address
2300 Haggerty Rd
West Bloomfield, MI 48323-2184
Phone (248) 926-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020618 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1629329933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 HAGGERTY RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232184",
"telephone_number": "248-926-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 HAGGERTY RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232184",
"telephone_number": "248-926-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISENBERG",
"first_name": "AMY",
"middle_name": "NOBLE",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901020618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.