Active NPI
West Bloomfield Dentistry, PLLC
- Dental Clinic/Center
- West Bloomfield, MI
National Provider Identifier
1679302764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- WEST BLOOMFIELD DENTISTRY, PLLC
- Practice address
- 2040 Woodrow Wilson Blvd
West Bloomfield, MI 48324-1772 - Phone
- (248) 682-2550
- NPI assigned
- Jul 29, 2024
- Last updated
- Aug 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shirley Nakash, D.D.S.
- Title
- Owner
- Phone
- (248) 682-2550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2040 Woodrow Wilson Blvd
West Bloomfield, MI 48324-1772
Mailing address
2040 Woodrow Wilson Dr
West Bloomfield, MI 48324
Phone (248) 682-2550
National Provider Directory
National Provider DirectoryLocations
2040 Woodrow Wilson Blvd
West Bloomfield, MI 48324
Phone (248) 682-2550
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- West Bloomfield, MI
- NPI 1275538787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1679302764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 WOODROW WILSON DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48324",
"telephone_number": "248-682-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 WOODROW WILSON BLVD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483241772",
"telephone_number": "248-682-2550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST BLOOMFIELD DENTISTRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-29",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "NAKASH",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-682-2550",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
- Wellstreet Urgent Care of Michigan
- Wellstreet Urgent Care of Michigan (Corewell Health Urgent Care)
- Welltower Opco Group LLC (Sunrise of West Bloomfield)
- West Blommfield Dental and Associates PLLC
- West Bloomfield Center for Dentistry PC
- West Bloomfield Dermatology and Mohs Surgery, PLC
- West Bloomfield Health and Rehabilitation Center, LLC (West Bloomfield Health and Rehabilitation Center)
- West Bloomfield Internal Medicine PLLC
- West Bloomfield Market LLC (Plum Market Pharmacy)
- West Bloomfield Opco LLC (Medilodge of West Bloomfield)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.