Organization Active NPI

Aesthetic Dentistry by Dipilla, P.C.

  • General Practice Dentistry
  • Birmingham, MI
National Provider Identifier
1972264919
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AESTHETIC DENTISTRY BY DIPILLA, P.C.
Practice address
600 North Old Woodward
Ste 201
Birmingham, MI 48009
Phone
(248) 646-0442
Fax
(248) 266-9319
NPI assigned
Jan 3, 2022
Last updated
Jan 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Ms. Jennifer Kelly Ausilio
Title
Licensing and Credentialing Adminis
Phone
(586) 615-6865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

600 North Old Woodward
Ste 201
Birmingham, MI 48009

Mailing address

600 North Old Woodward
Ste 201
Birmingham, MI 48009
Phone (248) 646-0442

National Provider Directory

National Provider Directory

Locations

600 N Old Woodward Ave
Ste 201
Birmingham, MI 48009
Phone (248) 646-0442

Practitioners & affiliated clinicians

Practitioners 1

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": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1972264919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTH OLD WOODWARD",
            "address_2": "STE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-646-0442",
            "fax_number": "248-266-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTH OLD WOODWARD",
            "address_2": "STE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-646-0442",
            "fax_number": "248-266-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DENTISTRY BY DIPILLA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "AUSILIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "LICENSING AND CREDENTIALING ADMINIS",
        "authorized_official_telephone_number": "586-615-6865",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.