Individual provider Active NPI

Joseph Francis Przeslawski, DDS

  • General Practice Dentistry
  • Sterling HTS, MI
National Provider Identifier
1790884591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
J132570 Issued in MI
Practice address
38800 Ryan Rd Ste 104
Sterling HTS, MI 48310-2993
Phone
(586) 979-0170
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 J132570 MI Primary

Addresses

Primary practice location

38800 Ryan Rd Ste 104
Sterling HTS, MI 48310-2993

Mailing address

38800 Ryan Rd Ste 104
Sterling HTS, MI 48310-2993
Phone (586) 979-0170

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160519001737 MI Order and Referring Only - DentistPractitioner - Dentist 9133418841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J132570MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790884591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38800 RYAN RD STE 104",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483102993",
            "telephone_number": "586-979-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38800 RYAN RD STE 104",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483102993",
            "telephone_number": "586-979-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZESLAWSKI",
        "first_name": "JOSEPH",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "J132570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling HTS, MI

Sources for this page

Verify at the official NPI Registry.