NPIMap

Organization Active NPI

Oakcrest Dental Center, PC

  • General Practice Dentistry
  • Taylor, MI
National Provider Identifier
1336362391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OAKCREST DENTAL CENTER, PC
Practice address
20302 Eureka Rd
Suite a
Taylor, MI 48180-5310
Phone
(734) 283-5757
Fax
(734) 283-5863
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Tonia Callaway
Title
Office Manager
Phone
(734) 283-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

20302 Eureka Rd
Suite a
Taylor, MI 48180-5310

Mailing address

20302 Eureka Rd
Suite a
Taylor, MI 48180-5310
Phone (734) 283-5757

National Provider Directory

National Provider Directory

Locations

20302 Eureka Rd
Ste A
Taylor, MI 48180
Phone (734) 283-5757

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336362391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20302 EUREKA RD",
            "address_2": "SUITE A",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805310",
            "telephone_number": "734-283-5757",
            "fax_number": "734-283-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20302 EUREKA RD",
            "address_2": "SUITE A",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805310",
            "telephone_number": "734-283-5757",
            "fax_number": "734-283-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKCREST DENTAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-283-5757",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, 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.