Organization Active NPI

Jana Tumpkin McQueen D.D.S. PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Southfield, MI
National Provider Identifier
1356476378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901015114 Issued in MI
Legal business name
JANA TUMPKIN MCQUEEN D.D.S. PC
Practice address
29702 Southfield Rd Ste H
Southfield, MI 48076-2096
Phone
(248) 559-4800
NPI assigned
Feb 22, 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
Jana Tumpkin McQueen, DDS
Title
Owner
Phone
(248) 559-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2901015114 MI Primary

Addresses

Primary practice location

29702 Southfield Rd Ste H
Southfield, MI 48076-2096

Mailing address

29702 Southfield Rd Ste H
Southfield, MI 48076-2096
Phone (248) 559-4800

Other identifiers 1

IdentifierTypeStateIssuer
2485594800OtherMIORTHODONTIST

National Provider Directory

National Provider Directory
Tax ID family
Jana Tumpkin McQueen DDS PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356476378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29702 SOUTHFIELD RD STE H",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762096",
            "telephone_number": "248-559-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29702 SOUTHFIELD RD STE H",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762096",
            "telephone_number": "248-559-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANA TUMPKIN MCQUEEN D.D.S. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUMPKIN MCQUEEN",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-559-4800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901015114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHODONTIST",
            "identifier": "2485594800",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, 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.