Okemos Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

OKEMOS PEDIATRIC DENTISTRY

Practice address

3985 Okemos Rd
Okemos, MI 48864-3692

Phone

(517) 381-5244

Fax

(517) 381-5247

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Melvin S Jung, DMDNPI 1497869606

Title

President

Phone

(517) 381-5244

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Melvin Shao Yun Jung, DMD FAAPD

  • Pediatric Dentistry
  • Okemos, MI
  • NPI 1497869606
  NPD Authorized official

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1154065977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 OKEMOS RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643692",
            "telephone_number": "517-381-5244",
            "fax_number": "517-381-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 OKEMOS RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643692",
            "telephone_number": "517-381-5244",
            "fax_number": "517-381-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEMOS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-381-5244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Okemos Family Chiropractic Inc
• Okemos Family Dentistry, P.C.
• Okemos Opco, LLC
• Okemos Optometry,PC
• Okemos Osteopathic Center PLC
• Okemos Primary Care Physicians PC
• Okemos Psychological Consultanats
• Okemos Psychological Services, LLC
• Okemos Smile Center of Michigan PLLC
• Okemos Therapy Associates

• Pediatric Dentistry in Okemos, MI
• Providers in Okemos, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.