Active NPI
Motor City Pediatric Dentistry PLLC
- Pediatric Dentistry
- Brighton, MI
National Provider Identifier
1861270746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- MOTOR CITY PEDIATRIC DENTISTRY PLLC
- Practice address
- 8641 W Grand River Ave Ste 1
Brighton, MI 48116-4329 - Phone
- (810) 227-9015
- NPI assigned
- Sep 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Burks
- Title
- Manager, Insurance Operations
- Phone
- (989) 327-7095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
8641 W Grand River Ave Ste 1
Brighton, MI 48116-4329
Mailing address
PO Box 773125
Detroit, MI 48277-3125
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695168000000",
"number": "1861270746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 773125",
"city": "DETROIT",
"state": "MI",
"postal_code": "482773125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8641 W GRAND RIVER AVE STE 1",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481164329",
"telephone_number": "810-227-9015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTOR CITY PEDIATRIC DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A",
"authorized_official_last_name": "BURKS",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "MANAGER, INSURANCE OPERATIONS",
"authorized_official_telephone_number": "989-327-7095"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.