Individual provider Active NPI

Monica Arora Rajurs, D.M.D.

  • General Practice Dentistry
  • Saint Clair Shores, MI
National Provider Identifier
1972624682
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019509 Issued in MI
Practice address
29800 Harper Ave Ste 1
Saint Clair Shores, MI 48082-1655
Phone
(586) 294-1010
Fax
(586) 294-0314
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901019509 MI Primary

Addresses

Primary practice location

29800 Harper Ave Ste 1
Saint Clair Shores, MI 48082-1655

Mailing address

17429 Crestbrook Dr
Northville, MI 48168-5012
Phone (734) 664-2961

Other identifiers 1

IdentifierTypeStateIssuer
12MedicaidMI

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

State licenses

LicenseStateTypeSpecialty
2901019509MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Smile Dental P.C. CurrentSince Apr 20, 2021 Accepting new patients
Brightside Dental General Practice Past Accepting new patients

Locations

29800 Harper Ave
Ste 1
Saint Clair Shores, MI 48082
Phone (586) 294-1010

Organizations & group practices 2

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1972624682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17429 CRESTBROOK DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481685012",
            "telephone_number": "734-664-2961",
            "fax_number": "586-294-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29800 HARPER AVE STE 1",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821655",
            "telephone_number": "586-294-1010",
            "fax_number": "586-294-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJURS",
        "first_name": "MONICA",
        "middle_name": "ARORA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.