Organization Active NPI

Allen Road Dental Center, PC.

  • General Practice Dentistry
  • Woodhaven, MI
National Provider Identifier
1013180157
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018342 Issued in MI
Legal business name
ALLEN ROAD DENTAL CENTER, PC.
Practice address
22150 Allen Rd
Woodhaven, MI 48183-2271
Phone
(734) 675-8844
Fax
(734) 675-4099
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Ayesha A Rafiq, DDS
Title
President
Phone
(734) 675-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901018342 MI Primary

Addresses

Primary practice location

22150 Allen Rd
Woodhaven, MI 48183-2271

Mailing address

22150 Allen Rd
Woodhaven, MI 48183-2271
Phone (734) 675-8844

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1013180157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22150 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832271",
            "telephone_number": "734-675-8844",
            "fax_number": "734-675-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22150 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832271",
            "telephone_number": "734-675-8844",
            "fax_number": "734-675-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN ROAD DENTAL CENTER, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "RAFIQ",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-675-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.