NPIMap

Organization Active NPI

Livonia Cosmatic and Implant Dental Center

  • General Practice Dentistry
  • Livonia, MI
National Provider Identifier
1659610012
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19388 Issued in MI
Legal business name
LIVONIA COSMATIC AND IMPLANT DENTAL CENTER
Practice address
28701 Plymouth Rd
Ste B
Livonia, MI 48150-2335
Phone
(734) 427-9300
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Abdul Shakfa, D.D.SNPI 1114066586
Title
Member
Phone
(734) 427-9300

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 19388 MI Primary

Addresses

Primary practice location

28701 Plymouth Rd
Ste B
Livonia, MI 48150-2335

Mailing address

28701 Plymouth Rd
Ste B
Livonia, MI 48150-2335
Phone (734) 427-9300

National Provider Directory

National Provider Directory

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": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1659610012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28701 PLYMOUTH RD",
            "address_2": "STE B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502335",
            "telephone_number": "734-427-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28701 PLYMOUTH RD",
            "address_2": "STE B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502335",
            "telephone_number": "734-427-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA COSMATIC AND IMPLANT DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "SHAKFA",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-427-9300",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "19388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.