Individual provider Active NPI

Danielle Candice Pietraszewski, RDH

  • Dental Hygienist
  • Berkley, MI
National Provider Identifier
1811309826
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2902015237 Issued in MI
Practice address
2790 12 Mile Rd
Berkley, MI 48072-1630
Phone
(248) 496-7447
Fax
(248) 439-2900
NPI assigned
May 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2902015237 MI Primary

Addresses

Primary practice location

2790 12 Mile Rd
Berkley, MI 48072-1630

Mailing address

2790 12 Mile Rd
Berkley, MI 48072-1630
Phone (248) 496-7447

Other practice location 1

3894 Robina Ave
Berkley, MI 48072-1499
Phone (248) 496-7447

Other identifiers 1

IdentifierTypeStateIssuer
1780096792MedicaidMI

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

State licenses

LicenseStateTypeSpecialty
2902015237MIMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Hygienist Recommended Inc Dental Hygienist CurrentSince Aug 2, 2020 Accepting new patients

Locations

2741 12 Mile Rd
Berkley, MI 48072
Phone (248) 439-0088

2790 12 Mile Rd
Berkley, MI 48072
Phone (248) 439-0088

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": "1400976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811309826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721630",
            "telephone_number": "248-496-7447",
            "fax_number": "248-439-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721630",
            "telephone_number": "248-496-7447",
            "fax_number": "248-439-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3894 Robina Ave",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MI",
            "postal_code": "480721499",
            "country_code": "US",
            "telephone_number": "248-496-7447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIETRASZEWSKI",
        "first_name": "DANIELLE",
        "middle_name": "CANDICE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-25",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902015237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780096792",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.