NPIMap

Organization Active NPI

Washtenaw Dental, PLC

  • Dentist
  • Ypsilanti, MI
National Provider Identifier
1487197802
Registry record updated Dec 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WASHTENAW DENTAL, PLC
Practice address
2100 Washtenaw Rd
Ypsilanti, MI 48197-1708
Phone
(734) 485-4600
Fax
(734) 485-4601
NPI assigned
Dec 3, 2016
Last updated
Dec 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2016

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

Authorized official

Name
Dennis DonohoNPI 1649486267
Title
Dentist
Phone
(734) 485-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2100 Washtenaw Rd
Ypsilanti, MI 48197-1708

Mailing address

2100 Washtenaw Rd
Ypsilanti, MI 48197-1708
Phone (734) 485-4600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1480723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480723200000",
    "number": "1487197802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971708",
            "telephone_number": "734-485-4600",
            "fax_number": "734-485-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971708",
            "telephone_number": "734-485-4600",
            "fax_number": "734-485-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHTENAW DENTAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-03",
        "last_updated": "2016-12-03",
        "status": "A",
        "authorized_official_last_name": "DONOHO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-485-4600"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; 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.