Keith D Nowicki DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KEITH D NOWICKI DDS PC

Doing business as

Dr Keith Nowicki

Practice address

32545 Garfield Rd
Fraser, MI 48026-3843

Phone

(586) 293-3633

Fax

(586) 293-5683

NPI assigned

Jun 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Keith D Nowicki, DONPI 1417917584

Title

Dr

Phone

(586) 293-3633

Specialties & licenses 1

Addresses

Other names 1

• Dr Keith Nowicki Doing business as

Practitioners 1

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

• Keith David Nowicki, DDS

  • Dentist
  • Fraser, MI
  • NPI 1417917584

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1851020606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32545 GARFIELD RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263843",
            "telephone_number": "586-293-3633",
            "fax_number": "586-293-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32545 GARFIELD RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263843",
            "telephone_number": "586-293-3633",
            "fax_number": "586-293-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH D NOWICKI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "NOWICKI",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "586-293-3633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Keith Nowicki",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Anne Jostock, M.D.
• Edward Kakish, DO
• Lindsay L Kalinowski, PA-C
• Nichole Kardas, LLP
• Simon Katrib
• Tieesha Ketchings
• Savannah Joy King
• Elizabeth J Kit, COTA/L
• Chad Michael Kovala, D.O.
• Stacy Lynn Kreger, OD

• General Practice Dentistry in Fraser, MI
• Providers in Fraser, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.