Organization Active NPI

Commerce Family Dentistry,P.C.

  • General Practice Dentistry
  • Commerce Township, MI
National Provider Identifier
1255398012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015865 Issued in MI
Legal business name
COMMERCE FAMILY DENTISTRY,P.C.
Practice address
2420 Union Lake Rd
Commerce Township, MI 48382-3551
Phone
(248) 363-3100
Fax
(248) 366-8735
NPI assigned
Apr 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sheri Diane Calleja, D.D.S.NPI 1306868500
Title
Dentist/Owner
Phone
(248) 363-3100

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901015865 MI Primary

Addresses

Primary practice location

2420 Union Lake Rd
Commerce Township, MI 48382-3551

Mailing address

2420 Union Lake Rd
Commerce Township, MI 48382-3551
Phone (248) 363-3100

National Provider Directory

National Provider Directory

Locations

2420 Union Lake Rd
Commerce Township, MI 48382
Phone (248) 363-3100

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": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255398012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 UNION LAKE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823551",
            "telephone_number": "248-363-3100",
            "fax_number": "248-366-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 UNION LAKE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823551",
            "telephone_number": "248-363-3100",
            "fax_number": "248-366-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE FAMILY DENTISTRY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLEJA",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "248-363-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.