Tavis a. Dancik MD PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

TAVIS A. DANCIK MD PLLC

Practice address

30701 Woodward Ave
Royal Oak, MI 48073-0987

Phone

(248) 835-5163

NPI assigned

Oct 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Tavis Andrew Dancik, MDNPI 1396971263

Title

Physcian

Phone

(248) 808-1228

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tavis Andrew Dancik, M.D.

  • Nephrology Physician
  • Royal Oak, MI
  • NPI 1396971263
  Medicare reassignment NPD Authorized official
• Brittany Pajewski, NP

  • Nurse Practitioner
  • Bloomfield Hills, MI
  • NPI 1437568813
  Medicare reassignment NPD
• Meghan Meredith Djordjevic, PA

  • Physician Assistant
  • Royal Oak, MI
  • NPI 1821362708
  Medicare reassignment

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752278400000",
    "number": "1679394589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480120190",
            "telephone_number": "248-835-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730987",
            "telephone_number": "248-835-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAVIS A. DANCIK MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A",
        "authorized_official_last_name": "DANCIK",
        "authorized_official_first_name": "TAVIS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "248-808-1228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zin Tarakji, MD
• Taylor Catherine Taraski, PA-C
• Sarah Tarbox-Berry
• Donald R Tatum, MD
• Lynn Taukert, CRNA
• Mohamad Y Tawila, M.D.
• Adam Michael Tawney, MD
• Kalemelekot Nigussie Taye, M.D.
• Nadine Tayeb, MD
• Diane Taylor

• Nephrology Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.