DR. RITA FANDAKLY
NPI 1114067071
Dentist - General Practice in Roseville, MI
About Dr. Rita Fandakly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RITA FANDAKLY (NPI 1114067071) is an individual general practice provider in Roseville, Michigan, licensed in Michigan (2901019132) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Rita Fandakly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rita Fandakly's NPI number?
The NPI number for Rita Fandakly is 1114067071. It was assigned to this individual provider in the NPPES registry on February 7, 2007.
Where is Rita Fandakly located?
Rita Fandakly practices at 20737 E 13 Mile Rd, Roseville, MI 48066. The listed phone number is (586) 294-7810.
What is Rita Fandakly's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Rita Fandakly enrolled in Medicare?
Yes. Rita Fandakly is registered in the Medicare PECOS enrollment system.
What insurance does Rita Fandakly accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian list Rita Fandakly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rita Fandakly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Rita Fandakly · NPI 1114067071
General Practice provider in Roseville, Michigan. Individual provider, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1114067071 (Entity type: Individual)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2901019132 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 20737 E 13 MILE RD, Roseville, MI 48066-4503
- **Phone:** (586) 294-7810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1114067071) · Data from the CMS NPPES public registry.