Organization Active NPI

All About Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Warren, MI
National Provider Identifier
1477040087
Registry record updated Sep 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901022120 Issued in MI
Legal business name
ALL ABOUT ORTHODONTICS PC
Practice address
4600 E 14 Mile Rd Ste 3/4
Warren, MI 48092-4369
Phone
(586) 999-9000
Fax
(586) 999-8000
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2018

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

Authorized official

Name
Dr. Raphael R. Putrus, DMD
Title
President, Chief Orthodontist
Phone
(586) 999-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2901022120 MI Primary

Addresses

Primary practice location

4600 E 14 Mile Rd Ste 3/4
Warren, MI 48092-4369

Mailing address

4600 E 14 Mile Rd Ste 3/4
Warren, MI 48092-4369
Phone (586) 999-9000

National Provider Directory

National Provider Directory

Locations

4600 E 14 Mile Rd
Ste 34
Warren, MI 48092
Phone (586) 999-9000

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536364800000",
    "number": "1477040087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 E 14 MILE RD STE 3/4",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924369",
            "telephone_number": "586-999-9000",
            "fax_number": "586-999-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E 14 MILE RD STE 3/4",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924369",
            "telephone_number": "586-999-9000",
            "fax_number": "586-999-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-09-08",
        "status": "A",
        "authorized_official_last_name": "PUTRUS",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT, CHIEF ORTHODONTIST",
        "authorized_official_telephone_number": "586-999-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901022120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; 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.