Mariam Rommel Maizi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

29010211560 Issued in MI

Practice address

31201 Chicago Rd S Ste A301
Warren, MI 48093-5523

Phone

(586) 434-4040

NPI assigned

Aug 3, 2015

Last updated

Sep 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Design Group PLLC

  dba Dental Design Group

  • General Practice Dentistry
  • Warren, MI
  • NPI 1982371365
  NPD

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1841676822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE A301",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935523",
            "telephone_number": "586-434-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE A301",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935523",
            "telephone_number": "586-434-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7710 Sightseeing Rd",
            "address_2": "bldg 2826",
            "address_purpose": "LOCATION",
            "city": "Fort Benning",
            "state": "GA",
            "postal_code": "319053764",
            "country_code": "US",
            "telephone_number": "706-544-3103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIZI",
        "first_name": "MARIAM",
        "middle_name": "ROMMEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "29010211560",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "5315071562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalie Mahoney, MD
• Taylor Nicole Mahrle, COTAL
• Derek Ray Maikowski
• Estella Maixner
• Brian Maizi, DDS
• Paula Majeed
• Nicole Racquel Majewski
• Cheneil Major
• Major's Non-Emergency Transportation Services LLC
• Amanda Makhzoum, LMSW

• Dentist in Warren, MI
• Providers in Warren, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.