Individual provider Active NPI

Dennis Joseph Jatkoe, DDS

  • Prosthodontics
  • Westland, MI
National Provider Identifier
1487758579
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2901010611 Issued in MI
Practice address
1628 Merriman Rd
Westland, MI 48186-5355
Phone
(734) 728-1730
Fax
(734) 728-1730
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901010611 MI
Prosthodontics 1223P0700X 2901010611 MI Primary

Addresses

Primary practice location

1628 Merriman Rd
Westland, MI 48186-5355

Mailing address

1628 Merriman Rd
Westland, MI 48186-5355
Phone (734) 728-1730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487758579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 MERRIMAN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865355",
            "telephone_number": "734-728-1730",
            "fax_number": "734-728-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 MERRIMAN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865355",
            "telephone_number": "734-728-1730",
            "fax_number": "734-728-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JATKOE",
        "first_name": "DENNIS",
        "middle_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901010611",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "2901010611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.