NPIMap

Organization Active NPI

City of Detroit

  • Public Health Dentistry
  • Detroit, MI
National Provider Identifier
1760701262
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
CITY OF DETROIT
Practice address
1151 Taylor St
323 C
Detroit, MI 48202-1732
Phone
(313) 876-4307
Fax
(313) 876-0475
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Authorized official

Name
Kanzoni Asabigi
Title
General Manager, Community Health
Phone
(313) 876-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

1151 Taylor St
323 C
Detroit, MI 48202-1732

Mailing address

1151 Taylor St
323 C
Detroit, MI 48202-1732
Phone (313) 876-4307

Other identifiers 1

IdentifierTypeStateIssuer
445991MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Emergency Medical Serv15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

1151 Taylor St
#323C
Detroit, MI 48202
Phone (313) 876-4307

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1760701262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 TAYLOR ST",
            "address_2": "323 C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-876-4307",
            "fax_number": "313-876-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 TAYLOR ST",
            "address_2": "323 C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-876-4307",
            "fax_number": "313-876-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "ASABIGI",
        "authorized_official_first_name": "KANZONI",
        "authorized_official_title_or_position": "GENERAL MANAGER, COMMUNITY HEALTH",
        "authorized_official_telephone_number": "313-876-4000"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445991",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.