GD Mi J&G-Novi PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD MI J&G-NOVI PLLC

Doing business as

Goldstein Dental Group

Practice address

23895 Novi Rd Ste 500
Novi, MI 48375-0202

Phone

(248) 374-2273

NPI assigned

Nov 25, 2022

Last updated

Nov 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Goldstein Dental Group Doing business as

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1881304376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23895 NOVI RD STE 500",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483750202",
            "telephone_number": "248-374-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23895 NOVI RD STE 500",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483750202",
            "telephone_number": "248-374-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD MI J&G-NOVI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goldstein Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vijaya Lakshmi Gavini, MD
• Vinaya Kumar Gavini, M.D.
• Clarissa Nicole Gayer, PSYD, LP
• Vormar Gbapaywhea
• GD Associates, PLLC
• GD Mi PLLC
• GD Surgeons PLLC
• Zihao Ge, MSW
• Sandra Geck
• Kahdeijra Lashay Gee

• General Practice Dentistry in Novi, MI
• Providers in Novi, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.