NPIMap

Organization Active NPI

Mayfair Dental Associates, P.C.

  • General Practice Dentistry
  • Farmington Hills, MI
National Provider Identifier
1912320912
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8393 Issued in MI
Legal business name
MAYFAIR DENTAL ASSOCIATES, P.C.
Practice address
30335 W 13 Mile Rd
Suite 101
Farmington Hills, MI 48334-2262
Phone
(248) 487-4013
Fax
(248) 747-4185
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Dr. Robert Nakisher, D.D.S.
Title
Owner
Phone
(248) 363-3304

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8393 MI Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 16085 MI
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9918 MI
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 19162 MI

Addresses

Primary practice location

30335 W 13 Mile Rd
Suite 101
Farmington Hills, MI 48334-2262

Mailing address

30335 W 13 Mile Rd
Suite 101
Farmington Hills, MI 48334-2262
Phone (248) 487-4013

National Provider Directory

National Provider Directory

Locations

30335 W 13 Mile Rd
Ste 101
Farmington Hills, MI 48334
Phone (248) 487-4013

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": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1912320912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30335 W 13 MILE RD",
            "address_2": "SUITE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342262",
            "telephone_number": "248-487-4013",
            "fax_number": "248-747-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30335 W 13 MILE RD",
            "address_2": "SUITE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342262",
            "telephone_number": "248-487-4013",
            "fax_number": "248-747-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "NAKISHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-363-3304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "8393",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16085",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "9918",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "19162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.