Active NPI
Patrick Lawrence Sweeney, D.D.S.
- Periodontics
- Eastpointe, MI
National Provider Identifier
1881743680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 12667
- Practice address
- 18501 E 8 Mile Rd
Eastpointe, MI 48021-3200 - Phone
- (586) 777-0260
- Fax
- (586) 777-5123
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 12667 | MI | Primary |
Addresses
Primary practice location
18501 E 8 Mile Rd
Eastpointe, MI 48021-3200
Mailing address
559 Sunningdale Dr
Grosse Pointe Woods, MI 48236-1667
Phone (313) 881-2262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170322001440 | MI | Order and Referring Only - Dentist | 9931420684 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12667 | MI | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WDW Eastpointe PLLC | Periodontics | Past | Accepting new patients |
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.
-
- Periodontics
- Eastpointe, MI
- NPI 1720674559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881743680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 SUNNINGDALE DR",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361667",
"telephone_number": "313-881-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18501 E 8 MILE RD",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480213200",
"telephone_number": "586-777-0260",
"fax_number": "586-777-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "PATRICK",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MI",
"license": "12667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.