D Nestor MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301044600 Issued in MI

Legal business name

D NESTOR MD PC

Practice address

2888 E Long Lake Rd
Suite 105
Troy, MI 48085-3700

Phone

(248) 689-1330

Fax

(248) 689-6424

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dushan Nestor, MD

Title

President

Phone

(248) 689-1330

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1790898237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 E LONG LAKE RD",
            "address_2": "SUITE 105",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853700",
            "telephone_number": "248-689-1330",
            "fax_number": "248-689-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 E LONG LAKE RD",
            "address_2": "SUITE 105",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853700",
            "telephone_number": "248-689-1330",
            "fax_number": "248-689-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D NESTOR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "NESTOR",
        "authorized_official_first_name": "DUSHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-689-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301044600",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301068171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.