Individual provider Active NPI

Stephen A Florkowski, DDS

  • General Practice Dentistry
  • Garden City, MI
National Provider Identifier
1972653590
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901014764 Issued in MI
Practice address
30990 Ford Road
Garden City, MI 48135-1803
Phone
(734) 552-8030
Fax
(734) 522-8987
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2015

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 2901014764 MI Primary

Addresses

Primary practice location

30990 Ford Road
Garden City, MI 48135-1803

Mailing address

30990 Ford Road
Garden City, MI 48135-1803
Phone (734) 522-8030

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150706002486 MI Order and Referring Only - DentistPractitioner - Dentist 4183936032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901014764MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a Florkowski DDS PC Past Accepting new patients

Organizations & group practices 1

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1972653590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30990 FORD ROAD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351803",
            "telephone_number": "734-522-8030",
            "fax_number": "734-522-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30990 FORD ROAD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351803",
            "telephone_number": "734-552-8030",
            "fax_number": "734-522-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORKOWSKI",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.