Active NPI
Oras Pola, DMD
- Dentist
- Lincoln Park, MI
National Provider Identifier
1235500869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901021746
- Practice address
- 3830 Fort St
Lincoln Park, MI 48146-4107 - Phone
- (313) 383-6899
- NPI assigned
- Oct 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901021746 | MI | Primary |
Addresses
Primary practice location
3830 Fort St
Lincoln Park, MI 48146-4107
Mailing address
1876 E 13 Mile Rd
Madison Heights, MI 48071-1539
Phone (586) 804-3512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160511001568 | MI | Order and Referring Only - Dentist | 8820387046 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021746 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1235500869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1876 E 13 MILE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480711539",
"telephone_number": "586-804-3512",
"fax_number": "248-688-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 FORT ST",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481464107",
"telephone_number": "313-383-6899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLA",
"first_name": "ORAS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-08",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901021746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.