Individual provider Active NPI

Alyssa Christine Arban, DDS

  • General Practice Dentistry
  • Waterford, MI
National Provider Identifier
1780250746
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901600973 Issued in MI
Practice address
4189 Highland Rd
Waterford, MI 48328-2136
Phone
(248) 682-9563
NPI assigned
Jun 1, 2021
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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 2901600973 MI Primary

Addresses

Primary practice location

4189 Highland Rd
Waterford, MI 48328-2136

Mailing address

32449 Pierce St
Garden City, MI 48135-1277
Phone (734) 664-0119

Other practice location 1

607 N Saginaw St
Holly, MI 48442-1344
Phone (715) 598-5174

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

LicenseStateTypeSpecialty
2901600973MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1780250746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32449 PIERCE ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351277",
            "telephone_number": "734-664-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4189 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282136",
            "telephone_number": "248-682-9563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 N Saginaw St",
            "address_purpose": "LOCATION",
            "city": "Holly",
            "state": "MI",
            "postal_code": "484421344",
            "country_code": "US",
            "telephone_number": "715-598-5174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARBAN",
        "first_name": "ALYSSA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.