The Society of St. Vincent de Paul Detroit

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THE SOCIETY OF ST. VINCENT DE PAUL DETROIT

Practice address

3000 Gratiot Ave
Detroit, MI 48207-2372

Phone

(313) 393-3009

NPI assigned

May 14, 2014

Organization subpart

Yes

Parent organization

THE SOCIETY OF ST. VINCENT OF PAUL INT THE ARCHDIOCESE OF DETROITAs reported in NPPES

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

Authorized official

Name

Mrs. Nancy M Harmon, RDH

Title

Dental Director

Phone

(313) 942-5957

Specialties & licenses 1

Addresses

Other names 1

• St. Vincent de Paul Dental Clinic Detroit Doing business as

Tax ID family

St Vincent de Paul Dental Clinic Detroit2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Vincent de Paul Detroit Dental

  • Dental Clinic/Center
  • Detroit, MI
  • NPI 1437550514
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jahura Hobby, RDH

  • Dental Hygienist
  • Detroit, MI
  • NPI 1639552854
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1992116875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072372",
            "telephone_number": "313-393-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072372",
            "telephone_number": "313-393-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOCIETY OF ST. VINCENT DE PAUL DETROIT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SOCIETY OF ST. VINCENT OF PAUL INT THE ARCHDIOCESE OF DETROIT",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "313-942-5957",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent de Paul Dental Clinic Detroit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.