Organization Active NPI

Dentalworks

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Roseville, MI
National Provider Identifier
1003290198
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901021680 Issued in MI
Legal business name
DENTALWORKS
Practice address
32123 Gratiot Ave
Roseville, MI 48066-1147
Phone
(586) 296-1943
NPI assigned
Jul 17, 2015
Organization subpart
Yes
Parent organization
DENTALONEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Hadi Daia, D.D.S., M.S.
Title
Orthodontist
Phone
(716) 238-0015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 2901021680 MI Primary

Addresses

Primary practice location

32123 Gratiot Ave
Roseville, MI 48066-1147

Mailing address

PO Box 860036
Minneapolis, MN 55486-0036
Phone (586) 296-1943

National Provider Directory

National Provider Directory
Tax ID family
Michigan Dental Providers Sterling Heights PC2 organizations share this tax ID, including this one
Part of
Michigan Dental Providers Sterling Heights PC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1003290198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860036",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860036",
            "telephone_number": "586-296-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32123 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661147",
            "telephone_number": "586-296-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALWORKS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTALONE",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "DAIA",
        "authorized_official_first_name": "HADI",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "716-238-0015",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901021680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.