Rainbow Dental Ddspc

Primary specialty

DentistTaxonomy code 122300000X

License

16825 Issued in MI

Legal business name

RAINBOW DENTAL DDSPC

Practice address

11451 Joseph Campau St
Hamtramck, MI 48212-3040

Phone

(313) 365-4870

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Odeesh, DDSNPI 1053376525

Title

President

Phone

(313) 365-4870

Specialties & licenses 1

Addresses

Tax ID family

Rainbow Dental Ddspc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rainbow Dental DDS,PC

  • Public Health Dentistry
  • Bingham Farms, MI
  • NPI 1356467708
  NPD tax ID

Practitioners 2

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

• Joseph H Odeesh, DDS

  • Dentist
  • Hamtramck, MI
  • NPI 1053376525
  NPD (past) Authorized official
• Hannah Odeesh, D.D.S.

  • General Practice Dentistry
  • Farmington Hills, MI
  • NPI 1003799941
  NPD (past)

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1508248147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11451 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123040",
            "telephone_number": "313-365-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11451 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123040",
            "telephone_number": "313-365-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW DENTAL DDSPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "ODEESH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-365-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "16825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Abdur Rahman, FNP
• Mohammad Mustafizur Rahman, PTC
• Mohammed Louthfur Rahman, NP
• Siddikur M Rahman
• Tahmina Rahman, PT
• Prem Raj, RPT
• Rehena P Rana, TLLP
• Sudha Reddy, M.D.
• Regal Home Care, LLC
• Regal Physical Therapy

• Dentist in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.