Active NPI
Rachel Nicole Prisbe
- Dental Hygienist
- Troy, MI
National Provider Identifier
1972057115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902017691
- Practice address
- 38865 Dequindre Rd Ste 105
Troy, MI 48083-6812 - Phone
- (248) 879-7755
- NPI assigned
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902017691 | MI | Primary |
Addresses
Primary practice location
38865 Dequindre Rd Ste 105
Troy, MI 48083-6812
Mailing address
4049 W Maple Rd Apt A101
Bloomfield Hills, MI 48301-3114
Phone (586) 879-9221
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2902017691 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1972057115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4049 W MAPLE RD APT A101",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483013114",
"telephone_number": "586-879-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38865 DEQUINDRE RD STE 105",
"city": "TROY",
"state": "MI",
"postal_code": "480836812",
"telephone_number": "248-879-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRISBE",
"first_name": "RACHEL",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902017691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.