Individual provider Active NPI

Velko Dimovich, DDS

  • Dentist
  • Sterling Heights, MI
National Provider Identifier
1972676310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Practice address
9001 15 Mile Rd
Ste B
Sterling Heights, MI 48312-3611
Phone
(586) 979-6060
Fax
(586) 979-6096
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MI Primary

Addresses

Primary practice location

9001 15 Mile Rd
Ste B
Sterling Heights, MI 48312-3611

Mailing address

9001 15 Mile Rd
Ste B
Sterling Heights, MI 48312-3611
Phone (586) 979-6060

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

LicenseStateTypeSpecialty
290105282MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Velko Dimovich DDS PLLC 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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972676310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 15 MILE RD",
            "address_2": "STE B",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123611",
            "telephone_number": "586-979-6060",
            "fax_number": "586-979-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 15 MILE RD",
            "address_2": "STE B",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123611",
            "telephone_number": "586-979-6060",
            "fax_number": "586-979-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOVICH",
        "first_name": "VELKO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.