Organization Active NPI

Donastorg Dentistry PLLC

  • General Practice Dentistry
  • Brighton, MI
National Provider Identifier
1699509166
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DONASTORG DENTISTRY PLLC
Practice address
10192 Grand River Rd Ste 104
Brighton, MI 48116-6516
Phone
(810) 227-5136
NPI assigned
Aug 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Dr. Vanessa DonastorgNPI 1851829469
Title
Owner
Phone
(810) 241-2959

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 Primary

Addresses

Primary practice location

10192 Grand River Rd Ste 104
Brighton, MI 48116-6516

Mailing address

4336 Tupper Lake Way
Linden, MI 48451-8469
Phone (810) 241-2959

Other names 1

  • Brighton Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10192 Grand River Rd
Ste 104
Brighton, MI 48116
Phone (810) 227-5136

Practitioners & affiliated clinicians

Practitioners 1

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": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1699509166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 TUPPER LAKE WAY",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518469",
            "telephone_number": "810-241-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10192 GRAND RIVER RD STE 104",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166516",
            "telephone_number": "810-227-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONASTORG DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "DONASTORG",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-241-2959",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.