Organization Active NPI

Raminta I. Mastis, D.D.S., P.C.

Doing business as Michigan Cosmetic and Laser Dentistry

  • Dentist
  • Saint Clair Shores, MI
National Provider Identifier
1851510689
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
015871 Issued in MI
Legal business name
RAMINTA I. MASTIS, D.D.S., P.C.
Doing business as
Michigan Cosmetic and Laser Dentistry
Practice address
22621 Harper Ave
Saint Clair Shores, MI 48080-1821
Phone
(586) 778-3870
Fax
(586) 778-9469
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Raminta Mastis, D.D.S.NPI 1023236841
Title
President
Phone
(586) 778-3870

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 015871 MI Primary

Addresses

Primary practice location

22621 Harper Ave
Saint Clair Shores, MI 48080-1821

Mailing address

22621 Harper Ave
Saint Clair Shores, MI 48080-1821
Phone (586) 778-3870

Other names 1

  • Michigan Cosmetic and Laser Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

22621 Harper Ave
Saint Clair Shores, MI 48080
Phone (586) 612-1964

Practitioners & affiliated clinicians

Practitioners 2

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1851510689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22621 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801821",
            "telephone_number": "586-778-3870",
            "fax_number": "586-778-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22621 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801821",
            "telephone_number": "586-778-3870",
            "fax_number": "586-778-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMINTA I. MASTIS, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "MASTIS",
        "authorized_official_first_name": "RAMINTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-778-3870",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "015871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Cosmetic and Laser Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.