Robert Gordon Nakisher, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901016085 Issued in MI

Practice address

7010 Pontiac TRL
West Bloomfield, MI 48323-2017

Phone

(248) 363-3304

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1790876977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 PONTIAC TRL",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232017",
            "telephone_number": "248-363-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 PONTIAC TRL",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232017",
            "telephone_number": "248-363-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKISHER",
        "first_name": "ROBERT",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16085",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian G. Nageotte, M.D.
• Mina W. F. Nagib, PHARMD
• Rashda Nahid, PTA
• Jana Najmikova Kovacova
• Rabia Nakadar, PT
• Desiree Namou, PA-C
• Diane P Nancarrow, M.A., CCC/SLP
• Sameer Nangia
• James Naragon, LMSW
• Zoia Naseem, DDS

• Dentist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.