Organization Active NPI

Regency Family Dental

  • Dental Clinic/Center
  • Shelby Township, MI
National Provider Identifier
1083343586
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Jun 9, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2901015191OtherMISTATE DENTAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mydentalclique.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.