Active NPI
Steven M Grabiel, D.D.S.
- Dentist
- Birmingham, MI
National Provider Identifier
1710325246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901020941
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150528002873 | MI | Order and Referring Only - Dentist | 3971823105 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020941 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.