Active NPI
Nidhi Nangia
- General Practice Dentistry
- Warren, MI
National Provider Identifier
1922669779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901601514
- Practice address
- 26113 Hoover Rd
Warren, MI 48089-1147 - Phone
- (586) 313-5686
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1002130 | WI | |
| General Practice Dentistry | 1223G0001X | 2901601514 | MI | Primary |
Addresses
Primary practice location
26113 Hoover Rd
Warren, MI 48089-1147
Mailing address
26113 Hoover Rd
Warren, MI 48089-1147
Phone (586) 393-5686
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 |
|---|---|---|---|---|
| I20230412000984 | MI | Order and Referring Only - Dentist | 1355716085 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002130 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Dental Mi 1 PC | General Practice | Current | Accepting new patients |
| Familia Dental Green Bay East LLC | General Practice | Past | Accepting new patients |
| Familia Dental Mkemitchell LLC | General Practice | Past | Accepting new patients |
Locations
26113 Hoover Rd
Warren, MI 48089
Phone (586) 313-5686
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Warren, MI
- NPI 1144057423
-
- Dental Clinic/Center
- Green Bay, WI
- NPI 1194188706
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1922669779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26113 HOOVER RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480891147",
"telephone_number": "586-393-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26113 HOOVER RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480891147",
"telephone_number": "586-313-5686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANGIA",
"first_name": "NIDHI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2024-10-23",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "1002130",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901601514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.