Individual provider Active NPI

Roman Shlafer, D.D.S.

  • General Practice Dentistry
  • Farmington, MI
National Provider Identifier
1720028418
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14462 Issued in MI
Practice address
31930 Grand River Ave
Farmington, MI 48336-4126
Phone
(248) 474-0224
Fax
(248) 474-0054
NPI assigned
Jun 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 14462 MI Primary

Addresses

Primary practice location

31930 Grand River Ave
Farmington, MI 48336-4126

Mailing address

31930 Grand River
Farmington, MI 48336
Phone (248) 474-0224

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
I20150731016266 MI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1951369297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14462MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roman Shlafer DDS PLLC CurrentSince Jan 1, 1990 Accepting new patients
GD Mi Farmington PLLC General Practice PastSince Jun 23, 2024 Accepting new patients

Locations

31930 Grand River Ave
Farmington, MI 48336
Phone (248) 474-0224

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720028418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31930 GRAND RIVER",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "48336",
            "telephone_number": "248-474-0224",
            "fax_number": "248-474-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31930 GRAND RIVER AVE",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483364126",
            "telephone_number": "248-474-0224",
            "fax_number": "248-474-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLAFER",
        "first_name": "ROMAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.