Organization Active NPI

Rainbow Dental DDS,PC

  • Public Health Dentistry
  • Bingham Farms, MI
National Provider Identifier
1356467708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
16825 Issued in MI
Legal business name
RAINBOW DENTAL DDS,PC
Practice address
31350 Telegraph Rd
Suite 101
Bingham Farms, MI 48025-4366
Phone
(248) 594-9592
NPI assigned
Mar 21, 2007
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
Dr. Joseph Odeesh, DDS
Title
Presedent
Phone
(248) 594-9592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X 16825 MI Primary

Addresses

Primary practice location

31350 Telegraph Rd
Suite 101
Bingham Farms, MI 48025-4366

Mailing address

31350 Telegraph Rd
Suite 101
Bingham Farms, MI 48025-4366
Phone (248) 594-9592

National Provider Directory

National Provider Directory
Tax ID family
Rainbow Dental Ddspc2 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

31350 Telegraph Rd
Ste 101
Bingham Farms, MI 48025
Phone (248) 594-9592

Practitioners & affiliated clinicians

Practitioners 1

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356467708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31350 TELEGRAPH RD",
            "address_2": "SUITE 101",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254366",
            "telephone_number": "248-594-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31350 TELEGRAPH RD",
            "address_2": "SUITE 101",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254366",
            "telephone_number": "248-594-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW DENTAL DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODEESH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "248-594-9592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "16825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, 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.