Organization Active NPI

Caroline Okonkowski DMD PC

  • Dental Clinic/Center
  • Taylor, MI
National Provider Identifier
1346892445
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CAROLINE OKONKOWSKI DMD PC
Practice address
25650 Goddard Rd Ste a
Taylor, MI 48180-6242
Phone
(313) 292-5590
Fax
(313) 908-7575
NPI assigned
Jul 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Dr. Caroline Okonkowski, DMD
Title
Dentist
Phone
(313) 292-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

25650 Goddard Rd Ste a
Taylor, MI 48180-6242

Mailing address

25650 Goddard Rd Ste a
Taylor, MI 48180-6242
Phone (313) 292-5590

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@shwedeldental.com

National Provider Directory

National Provider Directory
Tax ID family
Caroline Okonkowski DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25650 Goddard Rd
Ste A
Taylor, MI 48180
Phone (313) 292-5590

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1346892445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25650 GODDARD RD STE A",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806242",
            "telephone_number": "313-292-5590",
            "fax_number": "313-908-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25650 GODDARD RD STE A",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806242",
            "telephone_number": "313-292-5590",
            "fax_number": "313-908-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE OKONKOWSKI DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "OKONKOWSKI",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-292-5590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@shwedeldental.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "address_1": "25650 Goddard Rd Ste A",
            "city": "Taylor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481806242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 10, 2019; 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.