Active NPI
Regency Family Dental
- Dental Clinic/Center
- Shelby Township, MI
National Provider Identifier
1083343586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- REGENCY FAMILY DENTAL
- Practice address
- 54826 Dequindre Rd
Shelby Township, MI 48316-5625 - Phone
- (248) 601-6320
- Fax
- (248) 601-4416
- NPI assigned
- Jun 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maria Christi Kayser, RDH BS
- Title
- Dental Hygienist/Office Manager
- Phone
- (248) 601-6320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
54826 Dequindre Rd
Shelby Township, MI 48316-5625
Mailing address
54826 Dequindre Rd
Shelby Township, MI 48316-5625
Phone (248) 601-6320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2901015191 | Other | MI | STATE DENTAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mydentalclique.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
54826 Dequindre Rd
Shelby Township, MI 48316
Phone (248) 601-6320
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Shelby Township, MI
- NPI 1972359693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654732800000",
"number": "1083343586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54826 DEQUINDRE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483165625",
"telephone_number": "248-601-6320",
"fax_number": "248-601-4416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54826 DEQUINDRE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483165625",
"telephone_number": "248-601-6320",
"fax_number": "248-601-4416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENCY FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A",
"authorized_official_last_name": "KAYSER",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "CHRISTI",
"authorized_official_title_or_position": "DENTAL HYGIENIST/OFFICE MANAGER",
"authorized_official_telephone_number": "248-601-6320",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RDH BS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "2901015191",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mydentalclique.com",
"affiliation": "N",
"endpointDescription": "secure email exchange",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "54826 Dequindre Rd",
"city": "Shelby Township",
"state": "MI",
"country_code": "US",
"postal_code": "483165625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.