Organization Active NPI

Martin E. Guyer D.D.S. Professional Corporation

  • General Practice Dentistry
  • Roseville, MI
National Provider Identifier
1679687958
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8473 Issued in MI
Legal business name
MARTIN E. GUYER D.D.S. PROFESSIONAL CORPORATION
Practice address
19551 E 10 Mile Rd
Roseville, MI 48066-3998
Phone
(586) 775-6770
Fax
(586) 775-6855
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Dr. Martin E. Guyer, D.D.S.
Title
President
Phone
(586) 775-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8473 MI Primary

Addresses

Primary practice location

19551 E 10 Mile Rd
Roseville, MI 48066-3998

Mailing address

19551 E 10 Mile Rd
Roseville, MI 48066-3998
Phone (586) 775-6770

Other identifiers 1

IdentifierTypeStateIssuer
4012968MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1679687958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19551 E 10 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663998",
            "telephone_number": "586-775-6770",
            "fax_number": "586-775-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19551 E 10 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663998",
            "telephone_number": "586-775-6770",
            "fax_number": "586-775-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN E. GUYER D.D.S. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "GUYER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-775-6770",
        "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": "8473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4012968",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.