Individual provider Active NPI

Tressa A Priehs, D.D.S.

  • General Practice Dentistry
  • Novi, MI
National Provider Identifier
1710039904
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018850 Issued in MI
Practice address
43410 W 10 Mile Rd
Novi, MI 48375-3172
Phone
(248) 348-3100
Fax
(248) 348-3252
NPI assigned
Jan 17, 2007
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018850 MI Primary

Addresses

Primary practice location

43410 W 10 Mile Rd
Novi, MI 48375-3172

Mailing address

43410 W 10 Mile Rd
Novi, MI 48375-3172
Phone (248) 348-2100

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
I20170104000293 MI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8022399112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tressa a Priehs DDS PC General Practice CurrentSince Sep 15, 2024 Accepting new patients
Novi Family Dental Center PC PastSince Sep 15, 2024 Accepting new patients

Locations

43410 W 10 Mile Rd
Novi, MI 48375
Phone (248) 348-3100

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1710039904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43410 W 10 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753172",
            "telephone_number": "248-348-2100",
            "fax_number": "248-348-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43410 W 10 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753172",
            "telephone_number": "248-348-3100",
            "fax_number": "248-348-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEHS",
        "first_name": "TRESSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.