NPIMap

Organization Active NPI

Oakland Family Dentistry

  • Dentist
  • West Bloomfield, MI
National Provider Identifier
1467619429
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11201 Issued in FM
Legal business name
OAKLAND FAMILY DENTISTRY
Practice address
7125 Orchard Lake Rd Ste 310
West Bloomfield, MI 48322-3620
Phone
(248) 855-1855
Fax
(248) 855-3824
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Shakib E Halabu, DDS
Title
Owner
Phone
(248) 855-1855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 11201 FM Primary

Addresses

Primary practice location

7125 Orchard Lake Rd Ste 310
West Bloomfield, MI 48322-3620

Mailing address

7125 Orchard Lake Rd #310
West Bloomfield, MI 48322
Phone (248) 855-1855

Other identifiers 2

IdentifierTypeStateIssuer
1437252467MedicaidMI
1497949945MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Oakland Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1467619429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD #310",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-855-1855",
            "fax_number": "248-855-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 310",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223620",
            "telephone_number": "248-855-1855",
            "fax_number": "248-855-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "HALABU",
        "authorized_official_first_name": "SHAKIB",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-855-1855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FM",
            "license": "11201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437252467",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497949945",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.