NPIMap

Organization Active NPI

Oakland Integrated Healthcare Network

Doing business as Healthy Smiles Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Waterford, MI
National Provider Identifier
1194376566
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OAKLAND INTEGRATED HEALTHCARE NETWORK
Doing business as
Healthy Smiles Mobile Unit
Honor Community Health
Practice address
2253 Dixie Hwy
Waterford, MI 48328-1809
Phone
(248) 724-7600
Fax
(248) 828-7810
NPI assigned
Sep 26, 2019
Organization subpart
Yes
Parent organization
OAKLAND INTEGRATED HEALTHCARE NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Melissa McQueen
Title
Revenue Cycle Manager/Credentialing
Phone
(248) 724-7413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2253 Dixie Hwy
Waterford, MI 48328-1809

Mailing address

PO Box 430150
Pontiac, MI 48343-0150
Phone (248) 724-7600

Other practice location 1

114 Orchard Lake Rd
Pontiac, MI 48341-2244
Phone (248) 724-7600

Other practice location 2

1701 Baldwin Ave
Pontiac, MI 48340-3412
Phone (248) 724-7600

Other practice location 3

279 Summit Dr
Waterford, MI 48328-3364
Phone (248) 724-7600

Other practice location 4

22000 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 724-7600

Other practice location 5

501 N Cass Lake Rd
Waterford, MI 48328-2307
Phone (248) 724-7600

Other practice location 6

22000 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 724-7600

Other practice location 7

461 W Huron St
Pontiac, MI 48341-1601
Phone (248) 724-7600

Other practice location 8

1275 N Perry St
Pontiac, MI 48340-3135
Phone (248) 724-7600

Other practice location 9

196 Cesar E Chavez Ave
Pontiac, MI 48342-1094
Phone (248) 724-7600

Other practice location 10

1051 Arlene Ave
Pontiac, MI 48340-2904
Phone (248) 724-7600

Other practice location 11

816 Joslyn Ave
Pontiac, MI 48340-2919
Phone (248) 724-7600

Other names 2

  • Healthy Smiles Mobile Unit Doing business as
  • Honor Community Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@honorcommunityhealth.org

National Provider Directory

National Provider Directory
Tax ID family
Oakland Integrated Network24 organizations share this tax ID, including this one
Part of
Oakland Integrated Network

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

196 Cesar E Chavez Ave
Pontiac, MI 48342
Phone (248) 209-2000

2253 Dixie Hwy
Waterford, MI 48328

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1194376566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430150",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483430150",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281809",
            "telephone_number": "248-724-7600",
            "fax_number": "248-828-7810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Orchard Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483412244",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Baldwin Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483403412",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 Summit Dr",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483283364",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22000 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "48033",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Cass Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483282307",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22000 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "48033",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "461 W Huron St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483411601",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-7447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 N Perry St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483403135",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "196 Cesar E Chavez Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483421094",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Arlene Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483402904",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "816 Joslyn Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483402919",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OAKLAND INTEGRATED HEALTHCARE NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAKLAND INTEGRATED HEALTHCARE NETWORK",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "MCQUEEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER/CREDENTIALING",
        "authorized_official_telephone_number": "248-724-7413"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@honorcommunityhealth.org",
            "affiliation": "N",
            "address_1": "461 W Huron St",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483411601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthy Smiles Mobile Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Honor Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.