David Grachek, Jr.,DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAVID GRACHEK, JR.,DDS

Practice address

13745 Northline Rd
Southgate, MI 48195-1866

Phone

(734) 284-9873

Fax

(734) 284-4161

NPI assigned

Jan 24, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Odilia Arias

Title

Administrative

Phone

(734) 284-9873

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Jerome Grachek Jr., D.D.S.

  • Dentist
  • Southgate, MI
  • NPI 1265591531
  NPD (past)

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1891325239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13745 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951866",
            "telephone_number": "734-284-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13745 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951866",
            "telephone_number": "734-284-9873",
            "fax_number": "734-284-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GRACHEK, JR.,DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "ODILIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "734-284-9873",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265591531",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Daniels
• Syed M Danish, MD
• Danny a Kaplan DPM P.C.
• Bohdan Zenon Danysh, MD
• Chelsey Daugherty
• David Sorial DDS PC
• Elisaveta Maria David
• Benetta A Davis, BA LBSW
• Deshara Deasheona Davis
• Elizabeth C. Davis, LMSW

• General Practice Dentistry in Southgate, MI
• Providers in Southgate, 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 Jan 24, 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.