Dental Sleep Medicine of Michigan PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

14750 Issued in MI

Legal business name

DENTAL SLEEP MEDICINE OF MICHIGAN PLC

Practice address

15873 Middlebelt Rd
Suite 100
Livonia, MI 48154-3896

Phone

(734) 425-4400

Fax

(734) 425-8067

NPI assigned

Jun 22, 2012

Last updated

Feb 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James R Stewart Jr., DDSNPI 1619032729

Title

President

Phone

(734) 425-4400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Ross Stewart Jr., D.D.S.

  • General Practice Dentistry
  • Livonia, MI
  • NPI 1619032729
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1821351974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15873 MIDDLEBELT RD",
            "address_2": "SUITE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543896",
            "telephone_number": "734-425-4400",
            "fax_number": "734-425-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15873 MIDDLEBELT RD",
            "address_2": "SUITE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543896",
            "telephone_number": "734-425-4400",
            "fax_number": "734-425-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP MEDICINE OF MICHIGAN PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-425-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "14750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Mae Dennis
• Sydney Dennis
• Deborah Densham, CCC-SLP
• Ashley Densmore
• Jordan Dent
• Dentist
• Ramanpal K Deol, O.D.
• Chelsea E Depoole, CCP
• Katherine Deppong, LPC
• Derek G. Desouza MD PLLC

• Dental Clinic/Center in Livonia, MI
• Providers in Livonia, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.