NPIMap

Organization Active NPI

Golden Dental Plans, Inc.

  • Dentist
  • Warren, MI
National Provider Identifier
1376615732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62 Issued in MI
Legal business name
GOLDEN DENTAL PLANS, INC.
Practice address
29377 Hoover Rd
Warren, MI 48093-3475
Phone
(586) 573-8118
Fax
(586) 573-8720
NPI assigned
Nov 14, 2006
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
Mr. Joseph S Lentine
Title
President
Phone
(586) 573-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 62 MI Primary

Addresses

Primary practice location

29377 Hoover Rd
Warren, MI 48093-3475

Mailing address

29377 Hoover Rd
Warren, MI 48093-3475
Phone (586) 573-8118

Other identifiers 1

IdentifierTypeStateIssuer
11113OtherMINAIC CODE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376615732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29377 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933475",
            "telephone_number": "586-573-8118",
            "fax_number": "586-573-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29377 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933475",
            "telephone_number": "586-573-8118",
            "fax_number": "586-573-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN DENTAL PLANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LENTINE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-573-8118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "62",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAIC CODE",
            "identifier": "11113",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, 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.