Organization Active NPI

Shadi Krecht DMD PLLC

  • General Practice Dentistry
  • Plymouth, MI
National Provider Identifier
1851003925
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHADI KRECHT DMD PLLC
Practice address
9389 N Haggerty Rd
Plymouth, MI 48170-4622
Phone
(734) 928-2112
NPI assigned
Dec 20, 2022
Last updated
Dec 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Dr. Shadi Krecht, DMDNPI 1174644959
Title
Owner
Phone
(561) 504-3933

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 Dentistry 1223G0001X Primary

Addresses

Primary practice location

9389 N Haggerty Rd
Plymouth, MI 48170-4622

Mailing address

190 Plymouth Rd
Plymouth, MI 48170-1447
Phone (561) 504-3933

Other practice location 1

190 Plymouth Rd
Plymouth, MI 48170-1447
Phone (561) 504-3933

National Provider Directory

National Provider Directory

Locations

190 Plymouth Rd
Plymouth, MI 48170
Phone (734) 928-2112

9389 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 582-9770

Practitioners & affiliated clinicians

Practitioners 2

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": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1851003925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PLYMOUTH RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701447",
            "telephone_number": "561-504-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9389 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704622",
            "telephone_number": "734-928-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481701447",
            "country_code": "US",
            "telephone_number": "561-504-3933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHADI KRECHT DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "KRECHT",
        "authorized_official_first_name": "SHADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-504-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.