Individual provider Active NPI

David Shorez, D.D.S

  • Dentist
  • Flushing, MI
National Provider Identifier
1982965083
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020681 Issued in MI
Practice address
6221 W. Pierson Rd
Flushing, MI 48433
Phone
(810) 733-2700
NPI assigned
Jun 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020681 MI Primary

Addresses

Primary practice location

6221 W. Pierson Rd
Flushing, MI 48433

Mailing address

6221 W. Pierson Road
Flushing, MI 48433
Phone (810) 569-1038

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
I20151125001620 MI Order and Referring Only - DentistPractitioner - Dentist 1557661469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020681MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
David M. Shorez D.D.S., PLLC CurrentSince Aug 1, 2013 Accepting new patients
Natalya a Brezden DDS PLLC Dentist PastSince Oct 25, 2020 Accepting new patients

Locations

6221 W Pierson Rd
Flushing, MI 48433
Phone (810) 733-2700

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1982965083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 W. PIERSON ROAD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "48433",
            "telephone_number": "810-569-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 W. PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "48433",
            "telephone_number": "810-733-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOREZ",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

Verify at the official NPI Registry.