Organization Active NPI

Richard a. Oppenlander, DDS., PLC.

  • General Practice Dentistry
  • Portage, MI
National Provider Identifier
1265217111
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHARD A. OPPENLANDER, DDS., PLC.
Practice address
8191 Moorsbridge Rd Ste C
Portage, MI 49024-7891
Phone
(269) 327-9332
Fax
(269) 327-0819
NPI assigned
Aug 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Stephenie Lane
Title
Practice Manager
Phone
(269) 327-9332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8191 Moorsbridge Rd Ste C
Portage, MI 49024-7891

Mailing address

8191 Moorsbridge Rd Ste C
Portage, MI 49024-7891
Phone (269) 327-9332

National Provider Directory

National Provider Directory

Locations

8191 Moorsbridge Rd
Ste C
Portage, MI 49024
Phone (269) 327-9332

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1265217111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8191 MOORSBRIDGE RD STE C",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247891",
            "telephone_number": "269-327-9332",
            "fax_number": "269-327-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 MOORSBRIDGE RD STE C",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247891",
            "telephone_number": "269-327-9332",
            "fax_number": "269-327-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. OPPENLANDER, DDS., PLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "STEPHENIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "269-327-9332"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.