Patricia Alejandra Diaz, D.D.S., M.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020603 Issued in MI

Practice address

29627 Ford Rd.
Garden City, MI 48135

Phone

(734) 422-2890

Fax

(734) 422-2891

NPI assigned

Oct 27, 2007

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Pad Dental PLLC

  dba Garden City Dental Center

  • Dental Clinic/Center
  • Garden City, MI
  • NPI 1225750748
  NPD Authorized official

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1962681882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29627 FORD RD.",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "48135",
            "telephone_number": "734-422-2890",
            "fax_number": "734-422-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29627 FORD RD.",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "48135",
            "telephone_number": "734-422-2890",
            "fax_number": "734-422-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "PATRICIA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-27",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901020603",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Degara Garden City, PLLC
• Jasmin Deramos, CCHW
• Sangeetha Devendiran, MD
• Rakesh Reddy Devireddy, MD
• Linda D Devore, RD, CDE
• Dillon Dickow, PHARMD
• Christopher Thomas Doig, D.O.
• Timothy James Doig, D.O.
• Eric Donald, PH.D CANDIDATE
• Anna Patricia Doubt

• General Practice Dentistry in Garden City, MI
• Providers in Garden City, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.

Verify at the official NPI Registry.