Individual provider Active NPI

Jay Wayntraub, DDS

  • Dentist
  • West Bloomfield, MI
National Provider Identifier
1629709068
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601401 Issued in MI
Practice address
7459 Middlebelt Rd Ste 1
West Bloomfield, MI 48322-4184
Phone
(248) 737-2580
NPI assigned
Jun 17, 2022
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601401 MI Primary

Addresses

Primary practice location

7459 Middlebelt Rd Ste 1
West Bloomfield, MI 48322-4184

Mailing address

25540 Karen St
Oak Park, MI 48237-1377
Phone (248) 905-1589

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

State licenses

LicenseStateTypeSpecialty
2901601401MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Megan E Stowers DDS Ms PLC CurrentSince Jun 21, 2022 Accepting new patients

Locations

7459 Middlebelt Rd
Ste 1
West Bloomfield, MI 48322
Phone (248) 737-2580

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1629709068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25540 KAREN ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371377",
            "telephone_number": "248-905-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7459 MIDDLEBELT RD STE 1",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224184",
            "telephone_number": "248-737-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNTRAUB",
        "first_name": "JAY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601401",
            "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 Jun 17, 2022; 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.