Organization Active NPI

Pointe Fisher Dental

  • General Practice Dentistry
  • Grosse Pointe, MI
National Provider Identifier
1689106189
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019538 Issued in MI
Legal business name
POINTE FISHER DENTAL
Practice address
383 Fisher Rd
Grosse Pointe, MI 48230-1674
Phone
(313) 882-1490
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Dr. Jennifer Holtzman, DDS
Title
Owner
Phone
(313) 882-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2901019538 MI Primary

Addresses

Primary practice location

383 Fisher Rd
Grosse Pointe, MI 48230-1674

Mailing address

383 Fisher Rd
Grosse Pointe, MI 48230-1674
Phone (313) 882-1490

National Provider Directory

National Provider Directory

Locations

383 Fisher Rd
Grosse Pointe, MI 48230
Phone (313) 462-9641

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1689106189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 FISHER RD",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301674",
            "telephone_number": "313-882-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 FISHER RD",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301674",
            "telephone_number": "313-882-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTE FISHER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "HOLTZMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-882-1490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.