NPIMap

Organization Active NPI

Dearborn Family Smiles PLLC

  • Dentist
  • Dearborn, MI
National Provider Identifier
1629655469
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEARBORN FAMILY SMILES PLLC
Practice address
5005 Schaefer Rd
Dearborn, MI 48126-3252
Phone
(313) 914-2595
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Sandy S Acosta
Title
Practice Development Manager
Phone
(734) 525-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5005 Schaefer Rd
Dearborn, MI 48126-3252

Mailing address

16979 Farmington Rd
Livonia, MI 48154-2946
Phone (734) 525-6100

Other practice location 1

5245 Schaefer Rd
Dearborn, MI 48126-3257
Phone (313) 846-0112

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pdm@comfortdentalspa.com Direct

National Provider Directory

National Provider Directory

Locations

5005 Schaefer Rd
Dearborn, MI 48126
Phone (313) 384-6858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1629655469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16979 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542946",
            "telephone_number": "734-525-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263252",
            "telephone_number": "313-914-2595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5245 Schaefer Rd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481263257",
            "country_code": "US",
            "telephone_number": "313-846-0112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEARBORN FAMILY SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE DEVELOPMENT MANAGER",
        "authorized_official_telephone_number": "734-525-6100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdm@comfortdentalspa.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5005 Schaefer Rd",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481263252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.