Organization Active NPI

Convenient Family Dental Center, P.C.

Doing business as Convenient Family Dental

  • General Practice Dentistry
  • Okemos, MI
National Provider Identifier
1073858007
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017489 Issued in MI
Legal business name
CONVENIENT FAMILY DENTAL CENTER, P.C.
Doing business as
Convenient Family Dental
Practice address
1735 Hamilton Rd
Ste. 450
Okemos, MI 48864-1894
Phone
(248) 755-5700
NPI assigned
Dec 3, 2012
Last updated
Dec 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Mirza BaigNPI 1396706347
Title
President
Phone
(248) 755-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901017489 MI Primary

Addresses

Primary practice location

1735 Hamilton Rd
Ste. 450
Okemos, MI 48864-1894

Mailing address

23800 Orchard Lake Rd
Ste. 106
Farmington Hills, MI 48336-2560
Phone (248) 755-5700

Other names 1

  • Convenient Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1735 Hamilton Rd
Ste 450
Okemos, MI 48864
Phone (248) 755-5700

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1073858007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 ORCHARD LAKE RD",
            "address_2": "STE. 106",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362560",
            "telephone_number": "248-755-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 HAMILTON RD",
            "address_2": "STE. 450",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641894",
            "telephone_number": "248-755-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT FAMILY DENTAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-755-5700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convenient Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.