Individual provider Active NPI

Patrick T Ainslie, D.D.S., M.S., P.C.

  • Periodontics
  • Bloomfield Hills, MI
National Provider Identifier
1952426603
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
PA10994 Issued in MI
Practice address
50 W Big Beaver Rd
Suite 150
Bloomfield Hills, MI 48304-3910
Phone
(248) 540-0120
Fax
(248) 540-0108
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X PA10994 MI Primary

Addresses

Primary practice location

50 W Big Beaver Rd
Suite 150
Bloomfield Hills, MI 48304-3910

Mailing address

50 W Big Beaver Rd
Suite 150
Bloomfield Hills, MI 48304-3910
Phone (248) 540-0120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PA10994MIMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
David I Lipton DDS Ms PLLC Periodontics CurrentSince Jan 19, 2019 Accepting new patients

Locations

50 W Big Beaver Rd
Ste 150
Bloomfield Hills, MI 48304
Phone (248) 540-0120

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952426603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD",
            "address_2": "SUITE 150",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043910",
            "telephone_number": "248-540-0120",
            "fax_number": "248-540-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD",
            "address_2": "SUITE 150",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043910",
            "telephone_number": "248-540-0120",
            "fax_number": "248-540-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINSLIE",
        "first_name": "PATRICK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "PA10994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.