NPIMap

Organization Active NPI

Mahajan Family Dentistry, PC

  • General Practice Dentistry
  • Novi, MI
National Provider Identifier
1679514046
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15671 Issued in MI
Legal business name
MAHAJAN FAMILY DENTISTRY, PC
Practice address
23965 Novi Rd
Suite 140
Novi, MI 48375-3231
Phone
(248) 380-0200
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Dr. Rekha Mahajan, D.D.S.NPI 1689869851
Title
Owner
Phone
(248) 380-0200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15671 MI Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

23965 Novi Rd
Suite 140
Novi, MI 48375-3231

Mailing address

23965 Novi Rd
Suite 140
Novi, MI 48375-3231
Phone (248) 380-0200

National Provider Directory

National Provider Directory

Locations

23965 Novi Rd
Ste 140
Novi, MI 48375
Phone (248) 380-0200

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1679514046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23965 NOVI RD",
            "address_2": "SUITE 140",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753231",
            "telephone_number": "248-380-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23965 NOVI RD",
            "address_2": "SUITE 140",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753231",
            "telephone_number": "248-380-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHAJAN FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-380-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15671",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.