Active NPI
Mitchel David Smargon, DDS
- Dentist
- Troy, MI
National Provider Identifier
1831276799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901011728
- Practice address
- 6535 Rochester Road
Troy, MI 98085 - Phone
- (248) 879-5557
- Fax
- (248) 879-4548
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901011728 | MI | Primary |
Addresses
Primary practice location
6535 Rochester Road
Troy, MI 98085
Mailing address
6910 Tamerlane
West Bloomfield, MI 48322
Phone (248) 879-5557
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831276799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6910 TAMERLANE",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48322",
"telephone_number": "248-879-5557",
"fax_number": "248-879-4548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 ROCHESTER ROAD",
"city": "TROY",
"state": "MI",
"postal_code": "98085",
"telephone_number": "248-879-5557",
"fax_number": "248-879-4548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMARGON",
"first_name": "MITCHEL",
"middle_name": "DAVID",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901011728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.