Organization Active NPI

Bloomfield Dental Care, P.C.

  • General Practice Dentistry
  • Bloomfield Hills, MI
National Provider Identifier
1821143520
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BLOOMFIELD DENTAL CARE, P.C.
Practice address
43380 Woodward Ave
Suite 107
Bloomfield Hills, MI 48302-5050
Phone
(248) 338-3550
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas Smith Goldsby, DDS
Title
Vice President
Phone
(248) 338-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

43380 Woodward Ave
Suite 107
Bloomfield Hills, MI 48302-5050

Mailing address

43380 Woodward Ave
Suite 107
Bloomfield Hills, MI 48302-5050

National Provider Directory

National Provider Directory

Locations

43380 Woodward Ave
Ste 107
Bloomfield Hills, MI 48302
Phone (248) 338-3550

Practitioners & affiliated clinicians

Practitioners 2

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821143520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43380 WOODWARD AVE",
            "address_2": "SUITE 107",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43380 WOODWARD AVE",
            "address_2": "SUITE 107",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025050",
            "telephone_number": "248-338-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSBY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-338-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.