Individual provider Active NPI

Dorothy Pasikowski, D.D.S.

  • General Practice Dentistry
  • Berkley, MI
National Provider Identifier
1720067697
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016539 Issued in MI
Practice address
2867 W 12 Mile Rd
Berkley, MI 48072-1411
Phone
(248) 547-7110
Fax
(248) 547-7176
NPI assigned
Jan 10, 2006
Sex
Female
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 2901016539 MI Primary

Addresses

Primary practice location

2867 W 12 Mile Rd
Berkley, MI 48072-1411

Mailing address

2867 W 12 Mile Rd
Berkley, MI 48072-1411
Phone (248) 547-7110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901016539MIMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720067697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 W 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721411",
            "telephone_number": "248-547-7110",
            "fax_number": "248-547-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2867 W 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721411",
            "telephone_number": "248-547-7110",
            "fax_number": "248-547-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASIKOWSKI",
        "first_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.