The Traveling Tooth Station

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

THE TRAVELING TOOTH STATION

Practice address

30704 Huntsman Dr E
Farmington Hills, MI 48331-1378

Phone

(313) 244-3498

NPI assigned

Jun 6, 2007

Last updated

Aug 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melanie D Colbert, R.D.H. BSNPI 1447433396

Title

Owner

Phone

(313) 244-3498

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Dawson Colbert, R.D.H. BS

  • Dental Hygienist
  • Farmington Hills, MI
  • NPI 1447433396
  NPD (past) Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1063615300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30704 HUNTSMAN DR E",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311378",
            "telephone_number": "248-788-3845",
            "fax_number": "248-788-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30704 HUNTSMAN DR E",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311378",
            "telephone_number": "313-244-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRAVELING TOOTH STATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-244-3498",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D.H. BS"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063615300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Dental Hygienist in Michigan

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