Individual provider Active NPI

Steven M Grabiel, D.D.S.

  • Dentist
  • Birmingham, MI
National Provider Identifier
1710325246
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020941 Issued in MI
Practice address
950 S Old Woodward Ave
Suite 200
Birmingham, MI 48009-6719
Phone
(248) 644-9120
Fax
(248) 282-5060
NPI assigned
Jun 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020941 MI Primary

Addresses

Primary practice location

950 S Old Woodward Ave
Suite 200
Birmingham, MI 48009-6719

Mailing address

950 S Old Woodward Ave
Suite 200
Birmingham, MI 48009
Phone (248) 644-9120

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
I20150528002873 MI Order and Referring Only - DentistPractitioner - Dentist 3971823105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020941MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Dental Group, PC Past Accepting new patients

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": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1710325246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S OLD WOODWARD AVE",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-644-9120",
            "fax_number": "248-282-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S OLD WOODWARD AVE",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096719",
            "telephone_number": "248-644-9120",
            "fax_number": "248-282-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABIEL",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.