Organization Active NPI

Tanir Medical Center PC

  • Medical Specialty Clinic/Center
  • Clarkston, MI
National Provider Identifier
1740496702
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4301060849 Issued in MI
Legal business name
TANIR MEDICAL CENTER PC
Practice address
6080 Dixie Hwy Ste B
Clarkston, MI 48346-3493
Phone
(248) 620-3700
Fax
(248) 620-0228
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Narin Tanir Avci, M.D.NPI 1598733693
Title
President
Phone
(248) 620-3700

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
Medical Specialty Clinic/Center 261QM2500X 4301060849 MI Primary

Addresses

Primary practice location

6080 Dixie Hwy Ste B
Clarkston, MI 48346-3493

Mailing address

6080 Dixie Hwy Ste B
Clarkston, MI 48346-3493
Phone (248) 620-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070529000047 MI Part B Supplier - Clinic/Group Practice 5193822179 Receives reassigned benefits from 1 practitioner
Practice locations: Clarkston, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0948261Tanir Medical Center PC6080 Dixie Highway Suite B, Clarkston, MI 48346Provider-performed microscopyJul 5, 2028

National Provider Directory

National Provider Directory

Locations

5905 S Main St
Ste 2
Clarkston, MI 48346
Phone (248) 620-3700

6080 Dixie Hwy
Clarkston, MI 48346
Phone (248) 376-6421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1740496702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 DIXIE HWY STE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463493",
            "telephone_number": "248-620-3700",
            "fax_number": "248-620-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 DIXIE HWY STE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463493",
            "telephone_number": "248-620-3700",
            "fax_number": "248-620-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANIR MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "TANIR AVCI",
        "authorized_official_first_name": "NARIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-620-3700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301060849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.