Organization Active NPI

New Baltimore Dental Center

  • General Practice Dentistry
  • Chesterfield, MI
National Provider Identifier
1447594080
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEW BALTIMORE DENTAL CENTER
Practice address
33497 23 Mile Rd
Suite 140
Chesterfield, MI 48047-4062
Phone
(586) 725-6662
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dr. John F Okonowski, DDS
Title
Owner
Phone
(313) 530-1135

Specialties & licenses 1

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

Addresses

Primary practice location

33497 23 Mile Rd
Suite 140
Chesterfield, MI 48047-4062

Mailing address

33497 23 Mile Rd
Suite 140
Chesterfield, MI 48047-4062

Other names 1

  • Dental center of New baltimore Doing business as

National Provider Directory

National Provider Directory

Locations

33497 23 Mile Rd
Ste 140
Chesterfield, MI 48047
Phone (586) 725-6662

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1447594080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33497 23 MILE RD",
            "address_2": "SUITE 140",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33497 23 MILE RD",
            "address_2": "SUITE 140",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474062",
            "telephone_number": "586-725-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BALTIMORE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "OKONOWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-530-1135",
        "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": "Dental center of New baltimore",
            "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 Nov 20, 2012; 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.