Organization Active NPI

Stuart J Kessler DDS PC

  • Dentist
  • Sterling HTS, MI
National Provider Identifier
1639247331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9704 Issued in MI
Legal business name
STUART J KESSLER DDS PC
Practice address
38900 Van Dyke
#301
Sterling HTS, MI 48312-1180
Phone
(586) 939-1144
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stuart J Kessler, DDSNPI 1780098897
Title
Pres
Phone
(586) 939-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9704 MI Primary

Addresses

Primary practice location

38900 Van Dyke
#301
Sterling HTS, MI 48312-1180

Mailing address

38900 Van Dyke
#301
Sterling HTS, MI 48312-1180
Phone (586) 939-1144

Other identifiers 1

IdentifierTypeStateIssuer
D80154OtherMIBCBS MI

Other names 1

  • Profl Corpin Other name

National Provider Directory

National Provider Directory

Locations

38900 Van Dyke Ave
Ste 301
Sterling Heights, MI 48312
Phone (586) 939-1144

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639247331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38900 VAN DYKE",
            "address_2": "#301",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483121180",
            "telephone_number": "586-939-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38900 VAN DYKE",
            "address_2": "#301",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483121180",
            "telephone_number": "586-939-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART J KESSLER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "586-939-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "9704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "D80154",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Profl Corpin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sterling HTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.