Active NPI
Little Star Dental Sedation PLLC
- Pediatric Anesthesiology Physician
- Bloomfield, MI
National Provider Identifier
1831078807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- Legal business name
- LITTLE STAR DENTAL SEDATION PLLC
- Practice address
- 3430 Burning Bush Rd
Bloomfield, MI 48301-2168 - Phone
- (248) 376-6356
- NPI assigned
- Sep 2, 2025
- Last updated
- Sep 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Forrest
- Title
- Owner
- Phone
- (248) 376-6356
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | NU | Primary |
Addresses
Primary practice location
3430 Burning Bush Rd
Bloomfield, MI 48301-2168
Mailing address
3430 Burning Bush Rd
Bloomfield, MI 48301-2168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
22241 John R Rd
Hazel Park, MI 48030
Phone (248) 217-7997
Practitioners & affiliated clinicians
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.
-
- Pediatric Anesthesiology Physician
- Detroit, MI
- NPI 1487896353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1831078807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 BURNING BUSH RD",
"city": "BLOOMFIELD",
"state": "MI",
"postal_code": "483012168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 BURNING BUSH RD",
"city": "BLOOMFIELD",
"state": "MI",
"postal_code": "483012168",
"telephone_number": "248-376-6356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE STAR DENTAL SEDATION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A",
"authorized_official_last_name": "FORREST",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-376-6356"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.