NPIMap

Organization Active NPI

Orchard-Twelve Dental Center PC

  • General Practice Dentistry
  • Farmington Hills, MI
National Provider Identifier
1487829743
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17467 Issued in MI
Legal business name
ORCHARD-TWELVE DENTAL CENTER PC
Practice address
27970 Orchard Lake Rd
Farmington Hills, MI 48334-3767
Phone
(248) 865-0065
Fax
(248) 865-7898
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Mrs. Betty J Banks, CDA, RDA
Title
Office Manager
Phone
(248) 865-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17467 MI Primary

Addresses

Primary practice location

27970 Orchard Lake Rd
Farmington Hills, MI 48334-3767

Mailing address

27970 Orchard Lake Rd
Farmington Hills, MI 48334-3767
Phone (248) 865-0065

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1487829743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27970 ORCHARD LAKE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343767",
            "telephone_number": "248-865-0065",
            "fax_number": "248-865-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27970 ORCHARD LAKE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343767",
            "telephone_number": "248-865-0065",
            "fax_number": "248-865-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD-TWELVE DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-865-0065",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDA, RDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.