NPIMap

Organization Active NPI

Garden City Family Dentistry

  • General Practice Dentistry
  • Garden City, MI
National Provider Identifier
1790145381
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1447409800 Issued in MI
Legal business name
GARDEN CITY FAMILY DENTISTRY
Practice address
7110 Venoy Rd
Garden City, MI 48135-1637
Phone
(734) 522-6340
NPI assigned
Feb 25, 2016
Organization subpart
Yes
Parent organization
DENTAL ACQUISITIONS GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Mrs. Cheryl Lynn Delise
Title
Business Manager
Phone
(734) 522-6340

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 1972551810 MI
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 1447409800 MI Primary

Addresses

Primary practice location

7110 Venoy Rd
Garden City, MI 48135-1637

Mailing address

7110 Venoy Rd
Garden City, MI 48135-1637
Phone (734) 522-6340

Other names 1

  • Family dentistry Former legal business name

National Provider Directory

National Provider Directory
Part of
Garden City Family Dentistry

Locations

7110 Venoy Rd
Garden City, MI 48135
Phone (734) 522-6340

Practitioners & affiliated clinicians

Practitioners 2

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": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1790145381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 VENOY RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351637",
            "telephone_number": "734-522-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 VENOY RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351637",
            "telephone_number": "734-522-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL ACQUISITIONS GROUP",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "DELISE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "734-522-6340",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "1972551810",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "1447409800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.