NPIMap

Organization Active NPI

Bruce T. Roach, D.D.S., P.C.

Doing business as Dental One

  • General Practice Dentistry
  • Waterford, MI
National Provider Identifier
1427459049
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12916 Issued in MI
Legal business name
BRUCE T. ROACH, D.D.S., P.C.
Doing business as
Dental One
Practice address
5270 Highland Rd
Waterford, MI 48327-1913
Phone
(248) 673-2400
Fax
(248) 673-8663
NPI assigned
Sep 15, 2014
Last updated
Sep 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Ms. Lori Arnold
Title
Office Coordinator
Phone
(248) 673-2400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20149 MI
General Practice Dentistry 1223G0001X 12916 MI Primary

Addresses

Primary practice location

5270 Highland Rd
Waterford, MI 48327-1913

Mailing address

5270 Highland Rd
Waterford, MI 48327-1913
Phone (248) 673-2400

Other names 1

  • Dental One Doing business as

National Provider Directory

National Provider Directory

Locations

5270 Highland Rd
Waterford, MI 48327
Phone (248) 673-2400

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1427459049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271913",
            "telephone_number": "248-673-2400",
            "fax_number": "248-673-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271913",
            "telephone_number": "248-673-2400",
            "fax_number": "248-673-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE T. ROACH, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "248-673-2400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "20149",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental One",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.