NPIMap

Organization Active NPI

E&N Greater Mack Practices PLLC

  • Dental Clinic/Center
  • Saint Clair Shores, MI
National Provider Identifier
1801637111
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
E&N GREATER MACK PRACTICES PLLC
Practice address
23800 Greater Mack Ave
Saint Clair Shores, MI 48080-1406
Phone
(586) 775-6320
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Rachel Christ
Title
Receptionist
Phone
(248) 288-3588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

23800 Greater Mack Ave
Saint Clair Shores, MI 48080-1406

Mailing address

23800 Greater Mack Ave
Saint Clair Shores, MI 48080-1406
Phone (586) 775-6320

National Provider Directory

National Provider Directory
Tax ID family
En Greater Mack Practices PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

23800 Greater Mack Ave
Saint Clair Shores, MI 48080
Phone (586) 775-6320

Practitioners & affiliated clinicians

Practitioners 3

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": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1801637111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801406",
            "telephone_number": "586-775-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801406",
            "telephone_number": "586-775-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E&N GREATER MACK PRACTICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "CHRIST",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "248-288-3588"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.