Organization Active NPI

Macomb Endodontics

  • Endodontics
  • Chesterfield, MI
National Provider Identifier
1700411378
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
MACOMB ENDODONTICS
Practice address
51817 Gratiot Ave
Chesterfield, MI 48051-2014
Phone
(586) 846-4890
Fax
(586) 846-2848
NPI assigned
Mar 4, 2020
Organization subpart
Yes
Parent organization
MACOMB ENDODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Thomas Vokal
Title
Dentist
Phone
(586) 846-4890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

51817 Gratiot Ave
Chesterfield, MI 48051-2014

Mailing address

51817 Gratiot Ave
Chesterfield, MI 48051-2014
Phone (586) 846-4890

National Provider Directory

National Provider Directory
Part of
Macomb Endodontics

Locations

51817 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 846-4890

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1700411378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51817 GRATIOT AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512014",
            "telephone_number": "586-846-4890",
            "fax_number": "586-846-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51817 GRATIOT AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512014",
            "telephone_number": "586-846-4890",
            "fax_number": "586-846-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB ENDODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACOMB ENDODONTICS",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "VOKAL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-846-4890"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.