Organization Active NPI

Tiffany Danyal Shelby PLLC

Doing business as Shelby Family Dentistry

  • Dental Clinic/Center
  • Shelby Township, MI
National Provider Identifier
1720696131
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TIFFANY DANYAL SHELBY PLLC
Doing business as
Shelby Family Dentistry
Practice address
51863 Schoenherr Rd
Shelby Township, MI 48315-2757
Phone
(586) 731-6300
NPI assigned
Jul 22, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Megan Drummond
Title
Management
Phone
(386) 283-7165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

51863 Schoenherr Rd
Shelby Township, MI 48315-2757

Mailing address

51863 Schoenherr Rd
Shelby Township, MI 48315-2757
Phone (586) 731-6300

Other names 1

  • Shelby Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

51863 Schoenherr Rd
Shelby Township, MI 48315
Phone (586) 731-6300

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1720696131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51863 SCHOENHERR RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152757",
            "telephone_number": "586-731-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51863 SCHOENHERR RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152757",
            "telephone_number": "586-731-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY DANYAL SHELBY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "386-283-7165"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.