NPIMap

Organization Active NPI

Madorsky & Pullman, DDS, PLLC

  • General Practice Dentistry
  • Bloomfield Hills, MI
National Provider Identifier
1831362888
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901010700 Issued in MI
Legal business name
MADORSKY & PULLMAN, DDS, PLLC
Practice address
50 W Big Beaver Rd
Suite 290
Bloomfield Hills, MI 48304-3910
Phone
(248) 642-8130
Fax
(248) 642-9314
NPI assigned
Apr 10, 2008
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Mark David Madorsky, DDSNPI 1568585701
Title
Partner
Phone
(248) 642-8130

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901010700 MI Primary

Addresses

Primary practice location

50 W Big Beaver Rd
Suite 290
Bloomfield Hills, MI 48304-3910

Mailing address

50 W Big Beaver Rd
Suite 290
Bloomfield Hills, MI 48304-3910
Phone (248) 642-8130

National Provider Directory

National Provider Directory

Locations

50 W Big Beaver Rd
Ste 290
Bloomfield Hills, MI 48304
Phone (248) 642-8130

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1831362888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD",
            "address_2": "SUITE 290",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043910",
            "telephone_number": "248-642-8130",
            "fax_number": "248-642-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD",
            "address_2": "SUITE 290",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043910",
            "telephone_number": "248-642-8130",
            "fax_number": "248-642-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADORSKY & PULLMAN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "MADORSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-642-8130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010700",
            "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 Apr 10, 2008; 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.