Organization Active NPI

Motor City Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Brighton, MI
National Provider Identifier
1861270746
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Sep 20, 2023

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.