Individual provider Active NPI

John Michael Colasanti, DDS

  • Dentist
  • Livonia, MI
National Provider Identifier
1700845658
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901014513 Issued in MI
Practice address
15737 Farmington Rd
Livonia, MI 48154-2857
Phone
(734) 425-0909
Fax
(734) 425-9190
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901014513 MI Primary

Addresses

Primary practice location

15737 Farmington Rd
Livonia, MI 48154-2857

Mailing address

15737 Farmington Rd
Livonia, MI 48154-2857
Phone (734) 425-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915000695 MI Order and Referring Only - DentistPractitioner - Dentist 3870551112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John M. Colasanti, D.D.S., P.C. CurrentSince Jun 26, 2022 Accepting new patients

Locations

15737 Farmington Rd
Livonia, MI 48154
Phone (734) 425-0909

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700845658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15737 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542857",
            "telephone_number": "734-425-0909",
            "fax_number": "734-425-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15737 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542857",
            "telephone_number": "734-425-0909",
            "fax_number": "734-425-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLASANTI",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901014513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.