Organization Active NPI

Highland Advanced Dental Care PLLC

  • General Practice Dentistry
  • Highland, MI
National Provider Identifier
1043046790
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HIGHLAND ADVANCED DENTAL CARE PLLC
Practice address
2950 E Highland Rd
Highland, MI 48356-2810
Phone
(248) 887-8371
Fax
(248) 889-1550
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Dr. James Edward Locascio, DDSNPI 1982816682
Title
Owner
Phone
(248) 887-8371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2950 E Highland Rd
Highland, MI 48356-2810

Mailing address

2950 E Highland Rd
Highland, MI 48356-2810
Phone (248) 887-8371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241210000464 MI Part B Supplier - Clinic/Group Practice 6406382845 Receives reassigned benefits from 1 practitioner
Practice locations: Highland, MI
O20250318002542 MI DME Supplier - Oral Surgery - Dentist 6406382845 Practice locations: Highland, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1043046790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562810",
            "telephone_number": "248-887-8371",
            "fax_number": "248-889-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562810",
            "telephone_number": "248-887-8371",
            "fax_number": "248-889-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND ADVANCED DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "LOCASCIO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-887-8371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.