NPIMap

Organization Active NPI

Tru Dental Michigan PC

  • General Practice Dentistry
  • Temperance, MI
National Provider Identifier
1104408020
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRU DENTAL MICHIGAN PC
Practice address
7960 Lewis Ave
Temperance, MI 48182-9580
Phone
(734) 847-9905
Fax
(734) 847-9905
NPI assigned
Apr 21, 2021
Organization subpart
Yes
Parent organization
TRU DENTAL MICHIGAN PCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Corporate family (same tax ID) 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

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

National Provider Directory

National Provider Directory
Tax ID family
Tru Dental Michigan PC (10 organizations share this tax ID)
Part of
Tru Dental Michigan PC

Locations

7960 Lewis Ave
Temperance, MI 48182
Phone (734) 847-9905

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

7960 Lewis Ave
Temperance, MI 48182-9580

Mailing address

7960 Lewis Ave
Temperance, MI 48182-9580
Phone (734) 847-9905

Other names 1

NPPES NPI Registry
  • Tru Family Dental - Temperance Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 21, 2021.

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1104408020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829580",
            "telephone_number": "734-847-9905",
            "fax_number": "734-847-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829580",
            "telephone_number": "734-847-9905",
            "fax_number": "734-847-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU DENTAL MICHIGAN PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRU DENTAL MICHIGAN PC",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tru Family Dental - Temperance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temperance, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.