Organization Active NPI

Rivercrest Orthodontics DDS PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rochester Hills, MI
National Provider Identifier
1245753342
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901021680 Issued in MI
Legal business name
RIVERCREST ORTHODONTICS DDS PLLC
Practice address
930 W Avon Rd Ste 16
Rochester Hills, MI 48307-2759
Phone
(248) 652-1244
NPI assigned
Jul 20, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Hadi Daia, DDS, MS, FRCD(C)NPI 1447635487
Title
President
Phone
(248) 652-1244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2901021680 MI Primary

Addresses

Primary practice location

930 W Avon Rd Ste 16
Rochester Hills, MI 48307-2759

Mailing address

930 W Avon Rd Ste 16
Rochester Hills, MI 48307-2759
Phone (248) 652-1244

National Provider Directory

National Provider Directory

Locations

930 W Avon Rd
Ste 16
Rochester Hills, MI 48307
Phone (248) 652-1244

Practitioners & affiliated clinicians

Practitioners 2

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": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245753342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W AVON RD STE 16",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072759",
            "telephone_number": "248-652-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W AVON RD STE 16",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072759",
            "telephone_number": "248-652-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCREST ORTHODONTICS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAIA",
        "authorized_official_first_name": "HADI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-652-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, FRCD(C)"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901021680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.