NPIMap

Organization Active NPI

Oakwood Dentists P.L.L.C.

  • General Practice Dentistry
  • Dearborn, MI
National Provider Identifier
1174880736
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020093 Issued in MI
Legal business name
OAKWOOD DENTISTS P.L.L.C.
Practice address
4700 Schaefer Rd
#109
Dearborn, MI 48126-3698
Phone
(313) 945-8900
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Steven Jaffe, D.D.S.
Title
Dentist
Phone
(248) 672-0425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901020093 MI Primary

Addresses

Primary practice location

4700 Schaefer Rd
#109
Dearborn, MI 48126-3698

Mailing address

4700 Schaefer Rd
#109
Dearborn, MI 48126-3698
Phone (313) 945-8900

National Provider Directory

National Provider Directory

Locations

4700 Schaefer Rd
#109
Dearborn, MI 48126
Phone (313) 945-8900

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1174880736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SCHAEFER RD",
            "address_2": "#109",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263698",
            "telephone_number": "313-945-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SCHAEFER RD",
            "address_2": "#109",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263698",
            "telephone_number": "313-945-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD DENTISTS P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-672-0425",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020093",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 19, 2012; 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.