Active NPI
Jana Tumpkin McQueen D.D.S. PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dearborn, MI
National Provider Identifier
1124153762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2901015114
- Legal business name
- JANA TUMPKIN MCQUEEN D.D.S. PC
- Practice address
- 23400 Michigan Ave Ste P17
Dearborn, MI 48124-1985 - Phone
- (313) 730-1213
- NPI assigned
- Feb 23, 2007
- 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
- Jana Tumpkinmcqueen, DDS
- Title
- Owner
- Phone
- (248) 559-4800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901015114 | MI | Primary |
Addresses
Primary practice location
23400 Michigan Ave Ste P17
Dearborn, MI 48124-1985
Mailing address
29702 Southfield Rd Ste H
Southfield, MI 48076-2096
Phone (248) 559-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3137301213 | Other | MI | ORTHODONTIST |
National Provider Directory
National Provider Directory- Tax ID family
- Jana Tumpkin McQueen DDS PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Clinton Township, MI
- NPI 1033244678
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Southfield, MI
- NPI 1356476378
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Rochester Hills, MI
- NPI 1942335583
Locations
23400 Michigan Ave
Ste P17
Dearborn, MI 48124
Phone (313) 730-1213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124153762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29702 SOUTHFIELD RD STE H",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762096",
"telephone_number": "248-559-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23400 MICHIGAN AVE STE P17",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241985",
"telephone_number": "313-730-1213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANA TUMPKIN MCQUEEN D.D.S. PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TUMPKINMCQUEEN",
"authorized_official_first_name": "JANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-559-4800",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901015114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHODONTIST",
"identifier": "3137301213",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.