Active NPI
Jay Wayntraub, DDS
- Dentist
- West Bloomfield, MI
National Provider Identifier
1629709068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901601401
- 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, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901601401 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Megan E Stowers DDS Ms PLC | Current | 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.
-
- Pediatric Dentistry
- West Bloomfield, MI
- NPI 1740898873
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
- Sara Wasserman, M.A., CCC/SLP
- Natalie Tawa Watha, RDN
- Kay Elizabeth Watnick, MD
- Hannah Marie Watson
- Mitchell S Wayne, DPM
- WB Home Health Care LLC
- We Can Help Professional Counseling Service , PLLC (We Can Help Professional Counseling)
- We Kare Caregivers, LLC. (We Kare Caregivers)
- Richard Carlton Weaver, MA, LPC, NCC, CBIS,
- Megan Ashley Webb, CRNA
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.