Individual provider Active NPI

Marisa Ashley Oleski, DMD

  • General Practice Dentistry
  • Lake Orion, MI
National Provider Identifier
1124637731
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901600627 Issued in MI
Practice address
2951 S Baldwin Rd
Lake Orion, MI 48360-1665
Phone
(248) 391-1200
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901600627 MI Primary

Addresses

Primary practice location

2951 S Baldwin Rd
Lake Orion, MI 48360-1665

Mailing address

2473 Oak Ridge Dr
Troy, MI 48098-5325
Phone (248) 930-1126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901600627MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tina M Marshall DDS PC CurrentSince Aug 2, 2020 Accepting new patients

Locations

2951 S Baldwin Rd
Lake Orion, MI 48360
Phone (248) 391-1200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1124637731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2473 OAK RIDGE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985325",
            "telephone_number": "248-930-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 S BALDWIN RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601665",
            "telephone_number": "248-391-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESKI",
        "first_name": "MARISA",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.