NPIMap

Organization Active NPI

Brandon Family Dental

  • General Practice Dentistry
  • Ortonville, MI
National Provider Identifier
1275923526
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020788 Issued in MI
Legal business name
BRANDON FAMILY DENTAL
Practice address
1201 S Ortonville Rd
Ortonville, MI 48462-7600
Phone
(248) 627-2866
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Angela Harrell, DDSNPI 1669608261
Title
Owner Dentist
Phone
(248) 520-1939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901020788 MI Primary

Addresses

Primary practice location

1201 S Ortonville Rd
Ortonville, MI 48462-7600

Mailing address

1201 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 627-2866

National Provider Directory

National Provider Directory

Locations

1201 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 627-2866

Practitioners & affiliated clinicians

Practitioners 3

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": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1275923526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S ORTONVILLE RD",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "48462",
            "telephone_number": "248-627-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S ORTONVILLE RD",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484627600",
            "telephone_number": "248-627-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "248-520-1939",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ortonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.