Lathrup Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14801 Issued in MI

Legal business name

LATHRUP FAMILY DENTISTRY

Practice address

28625 Southfield Rd
Lathrup Village, MI 48076-2701

Phone

(248) 569-2056

Fax

(248) 569-8987

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mason HaddowNPI 1447479100

Title

President/Dentist

Phone

(248) 569-2056

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Mason Haddow, DDS

  • General Practice Dentistry
  • Lansing, MI
  • NPI 1447479100
  NPD (past) Authorized official
• Michael Haddow, D.D.S.,M.S.D.

  • Periodontics
  • Lathrup Village, MI
  • NPI 1013039098
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1235305301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28625 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762701",
            "fax_number": "248-569-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28625 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762701",
            "telephone_number": "248-569-2056",
            "fax_number": "248-569-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATHRUP FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "HADDOW",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "248-569-2056",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1842223",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Yolanda Kramer
• Lama Home Health Care, LLC
• Victora H Langsam, MD
• Kaia Larry
• Lathrup Apothecary Inc
• Lathrup Health Clinic PC
• Lathrup Primary Care PC
• Lifetime Dental Care of Michigan, P.C.
• Lifetime Dental Care of Michigan, P.C.
• Mara Jennifer Lipkovitz, LMSW,ACSW

• General Practice Dentistry in Lathrup Village, MI
• Providers in Lathrup Village, 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 May 7, 2008; 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.