John Matthew Otrhalek, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011923 Issued in MI

Practice address

20630 Vernier Rd
Harper Woods, MI 48225-1488

Phone

(313) 884-0040

Fax

(313) 884-0777

NPI assigned

Jan 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• TK Investment Harper Woods

  dba Woods Dentistry

  • Dental Clinic/Center
  • Harper Woods, MI
  • NPI 1164030615
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144209032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COLONIAL RD",
            "city": "GROSSE POINTE SHORES",
            "state": "MI",
            "postal_code": "482361775",
            "telephone_number": "313-886-1739",
            "fax_number": "313-884-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20630 VERNIER RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251488",
            "telephone_number": "313-884-0040",
            "fax_number": "313-884-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTRHALEK",
        "first_name": "JOHN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chuntajayona Nolan
• Aryn Najani Norris
• Oakwood Healthcare Group II, LLC (Corewell Health School Based Clinic- Harper Woods High Location)
• Stewart Olney, PHARMD
• Stephen Gerard Osinski, MSW, LMSW
• Emma Ottenhoff
• Outside the Box Transportation
• P3 Beauty LLC
• Mary Padalino
• Roula Kefalonitis Papapanos, LLP LPC

• General Practice Dentistry in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.