Michigan Head & Neck Institute PC

Primary specialty

DentistTaxonomy code 122300000X

License

009174 Issued in MI

Legal business name

MICHIGAN HEAD & NECK INSTITUTE PC

Practice address

3665 E 11 Mile Rd
Warren, MI 48092-4300

Phone

(586) 573-0438

Fax

(586) 573-0186

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Richard E KleinNPI 1225136054

Title

DDS

Phone

(586) 573-0438

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 5

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

• Richard E Klein, DDS

  • Dentist
  • Warren, MI
  • NPI 1225136054
  Medicare reassignment Care Compare group Authorized official
• Michael Haddad, DDS

  • General Practice Dentistry
  • Rochester Hills, MI
  • NPI 1821668302
  Medicare reassignment Care Compare group NPD
• Chad Mark Witkow, D.D.S.

  • General Practice Dentistry
  • Clio, MI
  • NPI 1316099179
  Medicare reassignment Care Compare group NPD
• Renna Hatahet, DDS

  • General Practice Dentistry
  • Dearborn, MI
  • NPI 1588272926
  Medicare reassignment NPD
• Jeffrey S. Haddad, DDS

  • General Practice Dentistry
  • Rochester, MI
  • NPI 1841352382
  NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1104871250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 E 11 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924300",
            "telephone_number": "586-573-0438",
            "fax_number": "586-573-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 E 11 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924300",
            "telephone_number": "586-573-0438",
            "fax_number": "586-573-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN HEAD & NECK INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "586-573-0438"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "009174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michigan Hand & Physical Therapy Services, P.C.
• Michigan Healthcare Professionals
• Michigan Healthcare Professionals, P.C.
• Michigan Home Exteriors
• Michigan Infectious Disease Associates, PC
• Michigan Institute of Urology, PC

• Dentist in Warren, MI
• Providers in Warren, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.