Organization Active NPI

Richmond-Dental Associates

  • General Practice Dentistry
  • Richmond, MI
National Provider Identifier
1396807582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHMOND-DENTAL ASSOCIATES
Practice address
69089 N Main St
Richmond, MI 48062-1146
Phone
(586) 727-5898
Fax
(586) 727-8429
NPI assigned
Dec 14, 2006
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. Samuel Paul Weiner, D.D.S.NPI 1326100611
Title
Owner
Phone
(586) 727-5898

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

69089 N Main St
Richmond, MI 48062-1146

Mailing address

8547 Hendrie Blvd
Huntington Woods, MI 48070-1617
Phone (586) 491-6482

National Provider Directory

National Provider Directory

Locations

69089 N Main St
Richmond, MI 48062
Phone (586) 727-5865

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396807582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8547 HENDRIE BLVD",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701617",
            "telephone_number": "586-491-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69089 N MAIN ST",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621146",
            "telephone_number": "586-727-5898",
            "fax_number": "586-727-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND-DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-727-5898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, 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.