Organization Active NPI

Laurich Dentistry Livonia

  • General Practice Dentistry
  • Livonia, MI
National Provider Identifier
1679199384
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAURICH DENTISTRY LIVONIA
Practice address
18618 Middlebelt Rd Ste 105
Livonia, MI 48152-3586
Phone
(248) 476-1960
Fax
(248) 479-2805
NPI assigned
Jun 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Alicia Octavia Karacson
Title
Office Manager
Phone
(248) 476-1960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

18618 Middlebelt Rd Ste 105
Livonia, MI 48152-3586

Mailing address

18618 Middlebelt Rd
Livonia, MI 48152-3585
Phone (248) 476-1960

National Provider Directory

National Provider Directory

Locations

18618 Middlebelt Rd
Livonia, MI 48152

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": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1679199384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18618 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523585",
            "telephone_number": "248-476-1960",
            "fax_number": "248-479-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18618 MIDDLEBELT RD STE 105",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523586",
            "telephone_number": "248-476-1960",
            "fax_number": "248-479-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURICH DENTISTRY LIVONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "KARACSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "OCTAVIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-476-1960"
    },
    "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 Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.