Organization Active NPI

Motor City Orthodontic Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Detroit, MI
National Provider Identifier
1902273832
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
14612 Issued in MI
Legal business name
MOTOR CITY ORTHODONTIC SPECIALISTS
Practice address
407 E Fort St
Suite 502
Detroit, MI 48226-2940
Phone
(313) 769-2030
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Michael L Lanzetta, DDS
Title
Owner
Phone
(734) 558-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 14612 MI Primary

Addresses

Primary practice location

407 E Fort St
Suite 502
Detroit, MI 48226-2940

Mailing address

407 E Fort St
Suite 502
Detroit, MI 48226-2940
Phone (313) 769-2030

Other names 1

  • DOS Orthodontic Specialists Other name

National Provider Directory

National Provider Directory

Locations

407 E Fort St
Ste 502
Detroit, MI 48226
Phone (313) 769-2030

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1902273832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E FORT ST",
            "address_2": "SUITE 502",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262940",
            "telephone_number": "313-769-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E FORT ST",
            "address_2": "SUITE 502",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262940",
            "telephone_number": "313-769-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTOR CITY ORTHODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "LANZETTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-558-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "14612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOS Orthodontic Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.