NPIMap

Organization Active NPI

Munk & Associates Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clarkston, MI
National Provider Identifier
1497932263
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901018292 Issued in MI
Legal business name
MUNK & ASSOCIATES ORTHODONTICS PLLC
Practice address
5825 S Main St
Suite 201
Clarkston, MI 48346-2983
Phone
(248) 625-0880
Fax
(248) 625-0828
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. Charles Wakefield Munk, D.D.S., M.S.NPI 1356527675
Title
Member
Phone
(248) 625-0880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2901018292 MI Primary

Addresses

Primary practice location

5825 S Main St
Suite 201
Clarkston, MI 48346-2983

Mailing address

5825 S Main St
Suite 201
Clarkston, MI 48346-2983
Phone (248) 625-0880

National Provider Directory

National Provider Directory

Locations

5825 S Main St
Ste 201
Clarkston, MI 48346
Phone (248) 625-0880

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1497932263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462983",
            "telephone_number": "248-625-0880",
            "fax_number": "248-625-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462983",
            "telephone_number": "248-625-0880",
            "fax_number": "248-625-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNK & ASSOCIATES ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "MUNK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WAKEFIELD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-625-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901018292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.