NPIMap

Organization Active NPI

David M. Shorez D.D.S., PLLC

Doing business as Flushing Dental Care

  • General Practice Dentistry
  • Flushing, MI
National Provider Identifier
1699265835
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020681 Issued in MI
Legal business name
DAVID M. SHOREZ D.D.S., PLLC
Doing business as
Flushing Dental Care
Practice address
6221 W Pierson Rd
Flushing, MI 48433-2338
Phone
(810) 733-2700
NPI assigned
May 14, 2018
Last updated
May 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Authorized official

Name
David ShorezNPI 1982965083
Title
Owner
Phone
(810) 569-1038

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 Dentistry 1223G0001X 2901020681 MI Primary

Addresses

Primary practice location

6221 W Pierson Rd
Flushing, MI 48433-2338

Mailing address

6221 W Pierson Rd
Flushing, MI 48433-2338
Phone (810) 733-2700

Other names 1

  • Flushing Dental Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180924000258 MI DME Supplier - Oral Surgery - Dentist 3274884796 Practice locations: Flushing, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1699265835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332338",
            "telephone_number": "810-733-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332338",
            "telephone_number": "810-733-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. SHOREZ D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "SHOREZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-569-1038"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flushing Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.