NPIMap

Organization Active NPI

Arbor Dental Associates PLLC

  • Durable Medical Equipment & Medical Supplies
  • Novi, MI
National Provider Identifier
1942660857
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ARBOR DENTAL ASSOCIATES PLLC
Practice address
44170 W 12 Mile Rd
Ste 200
Novi, MI 48377-2614
Phone
(248) 553-9393
Fax
(248) 553-7644
NPI assigned
Mar 4, 2016
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Christopher J PaulsonNPI 1265520332
Title
Owner
Phone
(248) 553-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Dentist 122300000X 2901019235 MI

Addresses

Primary practice location

44170 W 12 Mile Rd
Ste 200
Novi, MI 48377-2614

Mailing address

44170 W 12 Mile Rd
Ste 200
Novi, MI 48377-2614
Phone (248) 553-9393

National Provider Directory

National Provider Directory

Locations

44170 W Twelve Mile Rd
Ste 200
Novi, MI 48377
Phone (248) 553-9393

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1942660857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44170 W 12 MILE RD",
            "address_2": "STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772614",
            "telephone_number": "248-553-9393",
            "fax_number": "248-553-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44170 W 12 MILE RD",
            "address_2": "STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772614",
            "telephone_number": "248-553-9393",
            "fax_number": "248-553-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-553-9393"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.