Organization Active NPI

Malhotra & Renusch DDS PC

  • Dentist
  • Royal Oak, MI
National Provider Identifier
1225576085
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15126 Issued in MI
Legal business name
MALHOTRA & RENUSCH DDS PC
Practice address
30301 Woodward Ave
Ste. 220
Royal Oak, MI 48073-0979
Phone
(248) 208-2060
NPI assigned
Feb 1, 2017
Last updated
Feb 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Laura Steelmon
Title
Office Manager
Phone
(248) 280-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15126 MI Primary

Addresses

Primary practice location

30301 Woodward Ave
Ste. 220
Royal Oak, MI 48073-0979

Mailing address

30301 Woodward Ave
Ste. 220
Royal Oak, MI 48073-0979
Phone (248) 208-2060

National Provider Directory

National Provider Directory

Locations

30301 Woodward Ave
Ste 220
Royal Oak, MI 48073
Phone (248) 208-2060

Practitioners & affiliated clinicians

Practitioners 1

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": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1225576085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30301 WOODWARD AVE",
            "address_2": "STE. 220",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730979",
            "telephone_number": "248-208-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30301 WOODWARD AVE",
            "address_2": "STE. 220",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730979",
            "telephone_number": "248-208-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALHOTRA & RENUSCH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "STEELMON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-280-2060"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "15126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.