Organization Active NPI

Shiva Hogugi PLLC

  • General Practice Dentistry
  • West Bloomfield, MI
National Provider Identifier
1679906499
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017495 Issued in MI
Legal business name
SHIVA HOGUGI PLLC
Practice address
2300 Haggerty Rd Ste 1170
West Bloomfield, MI 48323-2187
Phone
(248) 669-5110
NPI assigned
Aug 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Dr. Shiva HogugiNPI 1073667739
Title
Owner
Phone
(248) 669-5110

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901017495 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd Ste 1170
West Bloomfield, MI 48323-2187

Mailing address

2300 Haggerty Rd Ste 1170
West Bloomfield, MI 48323-2187
Phone (248) 669-5110

National Provider Directory

National Provider Directory

Locations

2300 Haggerty Rd
Ste 1170
West Bloomfield, MI 48323
Phone (248) 579-2980

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": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1679906499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 1170",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232187",
            "telephone_number": "248-669-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 1170",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232187",
            "telephone_number": "248-669-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVA HOGUGI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "HOGUGI",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-669-5110",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.