Organization Active NPI

Jonathan Miodownik DMD PLLC

Doing business as Jonathan Miodownik DMD

  • General Practice Dentistry
  • Southfield, MI
National Provider Identifier
1710581277
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Authorized official

Name
Jonathan Miodownik, DMDNPI 1831539188
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.