Active NPI
Alamat Oral & Maxillofacial Surgery PLLC
- Oral and Maxillofacial Surgery (Dentist)
- Shelby Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- ALAMAT ORAL & MAXILLOFACIAL SURGERY PLLC
- Practice address
- 51685 Van Dyke Ave
Shelby Township, MI 48316 - Phone
- (586) 924-2038
- Fax
- (586) 323-1644
- NPI assigned
- Jul 24, 2017
- Last updated
- Sep 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katie White, R.N.
- Title
- Manager
- Phone
- (586) 924-2038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU | Primary |
Addresses
Primary practice location
51685 Van Dyke Ave
Shelby Township, MI 48316
Mailing address
51685 Van Dyke Ave
Shelby Township, MI 48316-4449
Phone (586) 924-2038
Other practice location 1
51685 Van Dyke Ave
Shelby Township, MI 48316
Phone (586) 924-2038
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E06779 | Other | MI | BCBS GROUP PIN |
| 5501882 | Other | MI | BCBS DENTAL PIN |
| 0503550 | Other | MI | BCBS MEDICAL PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Alamat Oral Surgery PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Clinton Township, MI
- NPI 1811877731
Locations
51685 Van Dyke Ave
Shelby Township, MI 48316
Phone (586) 924-2038
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Clinton Township, MI
- NPI 1811877731
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Shelby Township, MI
- NPI 1659310498
-
- Oral and Maxillofacial Surgery (Dentist)
- Shelby Township, MI
- NPI 1164815759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695254400000",
"number": "1265955082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51685 VAN DYKE AVE",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483164449",
"telephone_number": "586-924-2038",
"fax_number": "586-323-1644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51685 VAN DYKE AVE",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "48316",
"telephone_number": "586-924-2038",
"fax_number": "586-323-1644"
}
],
"practiceLocations": [
{
"address_1": "51685 Van Dyke Ave",
"address_purpose": "LOCATION",
"city": "Shelby Township",
"state": "MI",
"postal_code": "48316",
"country_code": "US",
"telephone_number": "586-924-2038",
"fax_number": "586-323-1644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALAMAT ORAL & MAXILLOFACIAL SURGERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-24",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "586-924-2038",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP PIN",
"identifier": "0E06779",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DENTAL PIN",
"identifier": "5501882",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MEDICAL PIN",
"identifier": "0503550",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.