Active NPI
Jonathan Miodownik DMD PLLC
Doing business as Jonathan Miodownik DMD
- General Practice Dentistry
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JONATHAN MIODOWNIK DMD PLLC
- Doing business as
- Jonathan Miodownik DMD
- Practice address
- 24764 Southfield Rd
Southfield, MI 48075-2715 - Phone
- (248) 557-2618
- Fax
- (248) 557-3211
- NPI assigned
- Nov 25, 2020
- Last updated
- Nov 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Miodownik, DMD
- Title
- Dentist
- Phone
- (248) 557-2618
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
24764 Southfield Rd
Southfield, MI 48075-2715
Mailing address
24764 Southfield Rd
Southfield, MI 48075-2715
Phone (248) 557-2618
Other names 1
- Jonathan Miodownik DMD
National Provider Directory
National Provider DirectoryLocations
24764 Southfield Rd
Southfield, MI 48075
Phone (248) 557-2618
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Southfield, MI
- NPI 1831539188
-
- General Practice Dentistry
- Southfield, MI
- NPI 1144427915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606262400000",
"number": "1710581277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24764 SOUTHFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752715",
"telephone_number": "248-557-2618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24764 SOUTHFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752715",
"telephone_number": "248-557-2618",
"fax_number": "248-557-3211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN MIODOWNIK DMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A",
"authorized_official_last_name": "MIODOWNIK",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "248-557-2618",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jonathan Miodownik DMD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.