Organization Active NPI

Diamond Dental Centers

  • General Practice Dentistry
  • Detroit, MI
National Provider Identifier
1659469898
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DIAMOND DENTAL CENTERS
Practice address
15601 Grand River Ave
Detroit, MI 48227-2281
Phone
(313) 272-3330
Fax
(313) 272-3396
NPI assigned
Oct 11, 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. Barry BaumNPI 1649229865
Title
Owner
Phone
(313) 272-3330

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15601 Grand River Ave
Detroit, MI 48227-2281

Mailing address

15601 Grand River Ave
Detroit, MI 48227-2281
Phone (313) 272-3330

National Provider Directory

National Provider Directory

Locations

15601 Grand River Ave
Detroit, MI 48227
Phone (313) 272-3330

Practitioners & affiliated clinicians

Practitioners 2

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659469898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272281",
            "telephone_number": "313-272-3330",
            "fax_number": "313-272-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15601 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272281",
            "telephone_number": "313-272-3330",
            "fax_number": "313-272-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND DENTAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-272-3330",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, 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.