NPIMap

Organization Active NPI

Frederic N. Smith,D.D.S, M.S. & John F. Sivertson, D.D.S, M.S., P.C.

  • Periodontics
  • Livonia, MI
National Provider Identifier
1871706663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901010031 Issued in MI
Legal business name
FREDERIC N. SMITH,D.D.S, M.S. & JOHN F. SIVERTSON, D.D.S, M.S., P.C.
Practice address
31636 Schoolcraft Rd
Livonia, MI 48150-1819
Phone
(734) 522-7313
Fax
(734) 522-3203
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John F. Sivertson, D.D.S.NPI 1487740866
Title
President
Phone
(734) 522-7313

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 2901010031 MI Primary

Addresses

Primary practice location

31636 Schoolcraft Rd
Livonia, MI 48150-1819

Mailing address

31636 Schoolcraft Rd
Livonia, MI 48150-1819
Phone (734) 522-7313

National Provider Directory

National Provider Directory

Locations

31636 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 522-7313

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871706663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31636 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501819",
            "telephone_number": "734-522-7313",
            "fax_number": "734-522-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31636 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501819",
            "telephone_number": "734-522-7313",
            "fax_number": "734-522-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC N. SMITH,D.D.S, M.S. & JOHN F. SIVERTSON, D.D.S, M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIVERTSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-522-7313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901010031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.