NPIMap

Organization Active NPI

Ocdc, LLC

Doing business as Oak Creek Dental Care

  • Dental Clinic/Center
  • Oak Creek, WI
National Provider Identifier
1427564897
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6560 Issued in WI
Legal business name
OCDC, LLC
Doing business as
Oak Creek Dental Care
Practice address
132 E Drexel Ave
Oak Creek, WI 53154-2123
Phone
(414) 762-9010
NPI assigned
Dec 21, 2017
Last updated
Dec 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Dr. Ehsan Saleki, DDSNPI 1346553559
Title
Dentist
Phone
(414) 762-9010

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
Dental Clinic/Center 261QD0000X 6560 WI Primary

Addresses

Primary practice location

132 E Drexel Ave
Oak Creek, WI 53154-2123

Mailing address

132 E Drexel Ave
Oak Creek, WI 53154-2123
Phone (414) 762-9010

Other names 1

  • Oak Creek Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

132 E Drexel Ave
Oak Creek, WI 53154
Phone (414) 762-9010

Practitioners & affiliated clinicians

Practitioners 3

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": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1427564897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E DREXEL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542123",
            "telephone_number": "414-762-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E DREXEL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542123",
            "telephone_number": "414-762-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCDC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "SALEKI",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "414-762-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "6560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Creek Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.