Organization Active NPI

North Oakland Dental Center

  • General Practice Dentistry
  • Pontiac, MI
National Provider Identifier
1306032511
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901007892 Issued in MI
Legal business name
NORTH OAKLAND DENTAL CENTER
Practice address
35 S Johnson St
Suite 2a
Pontiac, MI 48341-1658
Phone
(248) 333-2424
Fax
(248) 623-1252
NPI assigned
Sep 20, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. Richard Thomas McDonald, D.D.S.
Title
Owner
Phone
(248) 333-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901007892 MI Primary

Addresses

Primary practice location

35 S Johnson St
Suite 2a
Pontiac, MI 48341-1658

Mailing address

35 S Johnson St
Suite 2a
Pontiac, MI 48341-1658
Phone (248) 333-2424

Other identifiers 1

IdentifierTypeStateIssuer
2810761MedicaidMI

National Provider Directory

National Provider Directory

Locations

35 S Johnson St
Ste 2A
Pontiac, MI 48341
Phone (248) 333-2424

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1306032511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S JOHNSON ST",
            "address_2": "SUITE 2A",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411658",
            "telephone_number": "248-333-2424",
            "fax_number": "248-623-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S JOHNSON ST",
            "address_2": "SUITE 2A",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411658",
            "telephone_number": "248-333-2424",
            "fax_number": "248-623-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAKLAND DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-333-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901007892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2810761",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.