Organization Active NPI

North Macomb Dental PC

  • Dentist
  • Clinton TWP, MI
National Provider Identifier
1679938880
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901013244 Issued in MI
Legal business name
NORTH MACOMB DENTAL PC
Practice address
15400 19 Mile Rd
Suite 182
Clinton TWP, MI 48038-6327
Phone
(586) 228-0907
Fax
(586) 228-7655
NPI assigned
Dec 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Dr. Alan F Robinson, DDS
Title
President
Phone
(586) 228-0907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901013244 MI Primary

Addresses

Primary practice location

15400 19 Mile Rd
Suite 182
Clinton TWP, MI 48038-6327

Mailing address

15400 19 Mile Rd
Suite 182
Clinton TWP, MI 48038-6327
Phone (586) 228-0907

National Provider Directory

National Provider Directory

Locations

15400 19 Mile Rd
Ste 182
Clinton Twp, MI 48038
Phone (586) 228-0907

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1679938880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 19 MILE RD",
            "address_2": "SUITE 182",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386327",
            "telephone_number": "586-228-0907",
            "fax_number": "586-228-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 19 MILE RD",
            "address_2": "SUITE 182",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386327",
            "telephone_number": "586-228-0907",
            "fax_number": "586-228-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MACOMB DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-228-0907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901013244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.