NPIMap

Organization Active NPI

Brighton Dental Care

  • Dentist
  • Rochester Hills, MI
National Provider Identifier
1902174162
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
L1823026 Issued in MI
Legal business name
BRIGHTON DENTAL CARE
Practice address
2583 S Rochester Rd
Rochester Hills, MI 48307-4442
Phone
(248) 293-5300
Fax
(248) 293-5303
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Wafid Kizy, DMD
Title
Owner
Phone
(248) 593-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X L1823026 MI Primary

Addresses

Primary practice location

2583 S Rochester Rd
Rochester Hills, MI 48307-4442

Mailing address

2583 S Rochester Rd
Rochester Hills, MI 48307-4442
Phone (248) 293-5300

Other names 1

  • Brighton Dental Care PC Doing business as

National Provider Directory

National Provider Directory

Locations

2583 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 293-5300

Practitioners & affiliated clinicians

Practitioners 1

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": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1902174162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2583 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074442",
            "telephone_number": "248-293-5300",
            "fax_number": "248-293-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074442",
            "telephone_number": "248-293-5300",
            "fax_number": "248-293-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "KIZY",
        "authorized_official_first_name": "WAFID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-593-5300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "L1823026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Dental Care PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.