Diamond Smiles Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DIAMOND SMILES DENTISTRY, PC

Practice address

13334 E Jefferson Ave
Detroit, MI 48215-2719

Phone

(586) 330-9012

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Aisha Akpabio, DDS

Title

Owner/Dentist

Phone

(586) 330-9012

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1669947107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13334 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13334 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152719",
            "telephone_number": "586-330-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND SMILES DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "AKPABIO",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "586-330-9012",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1497049316",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maimouna Kalan Diallo, BT
• Diamond Adult Foster and Respite Homes LLC
• Diamond Care Home Service
• Diamond Dental Centers
• Diamond Home Assist LLC
• Arielle Tianne Diamond, NONE
• Mark C. Diamond, M.D.
• Diamonds of My Heart LLC
• Javier Ivan Diaz-Mendoza, M.D.
• Jacqueline Anna Diaz

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.