Individual provider Active NPI

Brian Maizi, DDS

  • Dentist
  • Warren, MI
National Provider Identifier
1871945170
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022555 Issued in MI
Practice address
31201 Chicago Rd S Ste A301
Warren, MI 48093-5523
Phone
(586) 434-4040
NPI assigned
Jul 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022555 MI Primary

Addresses

Primary practice location

31201 Chicago Rd S Ste A301
Warren, MI 48093-5523

Mailing address

31201 Chicago Rd S Ste A301
Warren, MI 48093-5523
Phone (248) 792-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901022555MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Design Group PLLC General Practice CurrentSince Sep 12, 2021 Accepting new patients

Locations

31201 Chicago Rd S
Ste A301
Warren, MI 48093
Phone (586) 434-4040

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1871945170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE A301",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935523",
            "telephone_number": "248-792-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S STE A301",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935523",
            "telephone_number": "586-434-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIZI",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2021-09-10",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.