Individual provider Active NPI

Dionisia Atienza Sy, MD

  • Pediatrics Physician
  • Brownstown TWP, MI
National Provider Identifier
1790787562
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DS045585 Issued in MI
Practice address
23050 West Rd
Suite 110
Brownstown TWP, MI 48183-1468
Phone
(734) 671-9800
Fax
(734) 671-7690
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DS045585 MI Primary

Addresses

Primary practice location

23050 West Rd
Suite 110
Brownstown TWP, MI 48183-1468

Mailing address

29828 Cottonwood CT
Farmington Hills, MI 48331-1922
Phone (248) 788-9370

Other identifiers 1

IdentifierTypeStateIssuer
2968364MedicaidMI

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DS045585MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Pediatric Associates P.C. Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dsy58056@direct.hfhs.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1790787562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29828 COTTONWOOD CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311922",
            "telephone_number": "248-788-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23050 WEST RD",
            "address_2": "SUITE 110",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831468",
            "telephone_number": "734-671-9800",
            "fax_number": "734-671-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY",
        "first_name": "DIONISIA",
        "middle_name": "ATIENZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "DS045585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2968364",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.