Organization Active NPI

Rochester Family Dentistry

  • Dentist
  • Rochester, MI
National Provider Identifier
1306906284
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15069 Issued in MI
Legal business name
ROCHESTER FAMILY DENTISTRY
Practice address
310 W University
Rochester, MI 48307
Phone
(248) 651-8787
Fax
(248) 651-8754
NPI assigned
Dec 11, 2006
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
Rose Whiteside
Title
Office Manager
Phone
(248) 651-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 15069 MI Primary

Addresses

Primary practice location

310 W University
Rochester, MI 48307

Mailing address

310 W University
Rochester, MI 48307

National Provider Directory

National Provider Directory

Locations

310 W University Dr
Rochester Hills, MI 48307
Phone (248) 651-8786

Practitioners & affiliated clinicians

Practitioners 4

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306906284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W UNIVERSITY",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W UNIVERSITY",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-651-8787",
            "fax_number": "248-651-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-651-8787"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "15069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, 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.