Deidre Alford
Individual provider Active NPI General Practice Dentistry · Detroit, MI
NPI 1831235654 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1831235654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901019231 (MI)
- Practice address
- 511 W 8 Mile Rd
Detroit, MI 48203-1004 - Phone
- (313) 891-7330
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170310001840 | MI | Practitioner - Dentist | 5193024552 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Detroit Central City Community Mental Health Inc. | Current | Accepting new patients | |
| The Wellness Plan Medical Centers | Current |
Accepting new patients | |
| Detroit Central City Community Mental Health Inc. | Current |
Accepting new patients | |
| The Wellness Plan Medical Centers | Current |
Accepting new patients | |
| Detroit Central City Community Mental Health, Inc. | Current |
Accepting new patients | |
| Detroit Central City Community Mental Health, Inc. | Past | Accepting new patients |
Locations
10 Peterboro St
Detroit, MI 48201
Phone (313) 221-8595
2888 W Grand Blvd
Detroit, MI 48202
Phone (313) 875-4200
1240 3rd St
Detroit, MI 48226
Phone (313) 635-4213
21040 Greenfield Rd
Oak Park, MI 48237
Phone (248) 967-1888
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCBDCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901019231 | MI | Yes |
Addresses
Primary practice location
511 W 8 Mile Rd
Detroit, MI 48203-1004
Mailing address
511 W 8 Mile Rd
Detroit, MI 48203-1004
Other providers in Detroit, MI
- Teresa Maria Alfau Hernandez
- Hanan Mohamed Omar Alfeggi
- Cristina Laker Alfieri
- Lourdes Angeles Alfonso
- Alfonzo Smith LLC
- Lawience Alford
- Monroe Alford
- Alfords Express LLC
- Rhonis Alfred
- Maria Algahim
All providers in Detroit, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.