Active NPI
Carly Ann Szurek, DDS
- Dentist
- Bloomfield Hills, MI
National Provider Identifier
1780114165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901022339
- Practice address
- 6443 Inkster Rd Ste 176
Bloomfield Hills, MI 48301-1303 - Phone
- (248) 855-4143
- NPI assigned
- Jun 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901022339 | MI | Primary |
Addresses
Primary practice location
6443 Inkster Rd Ste 176
Bloomfield Hills, MI 48301-1303
Mailing address
1229 Whispering Knoll LN
Rochester Hills, MI 48306-4179
Phone (248) 765-0512
Other practice location 1
32905 W 12 Mile Rd Ste 240
Farmington Hills, MI 48334-3344
Phone (248) 987-0562
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022339 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald C Fontanesi DDS PC | Dentist | Past | Accepting new patients |
| Bloomfield Dental Group PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Bloomfield Hills, MI
- NPI 1306277363
-
- Dentist
- Bloomfield Hills, MI
- NPI 1447329230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1780114165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 WHISPERING KNOLL LN",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483064179",
"telephone_number": "248-765-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6443 INKSTER RD STE 176",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483011303",
"telephone_number": "248-855-4143"
}
],
"practiceLocations": [
{
"address_1": "32905 W 12 Mile Rd Ste 240",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483343344",
"country_code": "US",
"telephone_number": "248-987-0562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SZUREK",
"first_name": "CARLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901022339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.