NPIMap

Organization Active NPI

McGettrick Dental Management, PLLC

  • Dentist
  • Roseville, MI
National Provider Identifier
1841641610
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5315041112 Issued in MI
Legal business name
MCGETTRICK DENTAL MANAGEMENT, PLLC
Practice address
27115 Gratiot Ave
Roseville, MI 48066-2900
Phone
(248) 200-9704
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Dr. Shanna Marie McGettrick, D.D.S.
Title
Ceo
Phone
(248) 200-9704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5315041112 MI Primary

Addresses

Primary practice location

27115 Gratiot Ave
Roseville, MI 48066-2900

Mailing address

6804 Meadow CT
Troy, MI 48098-2032
Phone (248) 200-9704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1841641610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 MEADOW CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982032",
            "telephone_number": "248-200-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27115 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662900",
            "telephone_number": "248-200-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGETTRICK DENTAL MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "MCGETTRICK",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-200-9704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "5315041112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.