Organization Active NPI

Heritage Dental, PLC

  • Dental Clinic/Center
  • Clawson, MI
National Provider Identifier
1134739840
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HERITAGE DENTAL, PLC
Practice address
870 N Crooks Rd
Clawson, MI 48017-1311
Phone
(248) 435-0110
Fax
(248) 435-0110
NPI assigned
Aug 6, 2020
Last updated
Aug 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Dr. Richard Inez, DDSNPI 1053379131
Title
Owner Dentist
Phone
(248) 435-0110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

870 N Crooks Rd
Clawson, MI 48017-1311

Mailing address

870 N Crooks Rd
Clawson, MI 48017-1311
Phone (248) 435-0110

National Provider Directory

National Provider Directory

Locations

870 N Crooks Rd
Clawson, MI 48017
Phone (248) 435-0110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1134739840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N CROOKS RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171311",
            "telephone_number": "248-435-0110",
            "fax_number": "248-435-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 N CROOKS RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171311",
            "telephone_number": "248-435-0110",
            "fax_number": "248-435-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DENTAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "INEZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "248-435-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clawson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.