Elizabeth Frances Ralstrom, DDS, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901019867 Issued in MI

Practice address

39400 Garfield Rd
Northeast Professional Building
Clinton Township, MI 48038-4096

Phone

(586) 286-0700

NPI assigned

May 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: eralstro@direct.dmc.org
• Direct secure messaging: eralstrom1148471@direct.hfhs.org

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1952568495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD ROAD",
            "address_2": "NORTHEAST PROFESSIONAL BUILDING",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "NORTHEAST PROFESSIONAL BUILDING",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALSTROM",
        "first_name": "ELIZABETH",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019867",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901019867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond P Rahi, M.D.
• Tannya Rahman
• Shireen Rahmani, MD
• Amna Saleem Rajput
• Curt S Ralstrom, DDS,MS
• Ryan Nathaniel Ramales, PA-C
• Swetha Ramireddy, MD
• Bryanna C Ramirez, RBT
• Amy Ramos-Anderson
• Frank A Randazzo, M.D.

• Pediatric Dentistry in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.