NPIMap

Organization Active NPI

TMJ & Sleep Therapy Centre of Macomb County, PLLC

  • General Practice Dentistry
  • Chesterfield, MI
National Provider Identifier
1366904708
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TMJ & SLEEP THERAPY CENTRE OF MACOMB COUNTY, PLLC
Practice address
50475 Gratiot
Suite 4
Chesterfield, MI 48051
Phone
(586) 949-5363
NPI assigned
Apr 4, 2019
Organization subpart
Yes
Parent organization
TMJ & SLEEP THERAPY CENTRE OF MACOMB COUAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Dr. Roman Sadikoff, DDSNPI 1245260447
Title
Owner
Phone
(586) 949-5363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

50475 Gratiot
Suite 4
Chesterfield, MI 48051

Mailing address

50475 Gratiot
Suite 4
Chesterfield, MI 48051
Phone (586) 949-5363

Other names 1

  • TMJ & Sleep Therapy Centre Doing business as

National Provider Directory

National Provider Directory
Part of
TMJ Sleep Therapy Centre of Macomb County PLLC

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": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1366904708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50475 GRATIOT",
            "address_2": "SUITE 4",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "48051",
            "telephone_number": "586-949-5363",
            "fax_number": "586-949-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50475 GRATIOT",
            "address_2": "SUITE 4",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "48051",
            "telephone_number": "586-949-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ & SLEEP THERAPY CENTRE OF MACOMB COUNTY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TMJ & SLEEP THERAPY CENTRE OF MACOMB COU",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "SADIKOFF",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-949-5363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMJ & Sleep Therapy Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.