Active NPI
Dianne Walker-Houston, D.D.S.
- General Practice Dentistry
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901018023
- Practice address
- 1355 Oakman Blvd Ste 201
Detroit, MI 48238-2849 - Phone
- (313) 461-6262
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4668 | LA | |
| General Practice Dentistry | 1223G0001X | 2901018023 | MI | Primary |
Addresses
Primary practice location
1355 Oakman Blvd Ste 201
Detroit, MI 48238-2849
Mailing address
3320 Spinnaker LN Apt 18F
Detroit, MI 48207-5006
Phone (504) 616-7958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4668 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Detroit Health Care for the Homeless | Current | Accepting new patients | |
| Detroit Health Care for the Homeless | Current | Accepting new patients | |
| Detroit Health Care for the Homeless | Current | Accepting new patients | |
| Algiers Dental Associates LLC | General Practice | Past | Accepting new patients |
| Detroit Health Care for the Homeless | Past | Accepting new patients |
Locations
100 River Place Dr
Ste 450
Detroit, MI 48207
101 E Alexandrine St
Detroit, MI 48201
Phone (313) 416-6262
1355 Oakman Blvd
Detroit, MI 48238
Phone (313) 416-6262
1355 Oakman Blvd
Ste 201
Detroit, MI 48238
Phone (313) 461-6262
15400 W McNichols Rd
Detroit, MI 48235
Phone (313) 416-6262
4669 E 8 Mile Rd
Warren, MI 48091
Phone (313) 416-6200
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Warren, MI
- NPI 1144371279
-
- Federally Qualified Health Center (FQHC)
- Warren, MI
- NPI 1043103989
-
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1871645309
-
- Dental Clinic/Center
- Detroit, MI
- NPI 1003325440
-
- General Practice Dentistry
- New Orleans, LA
- NPI 1528446150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1508951237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 SPINNAKER LN APT 18F",
"city": "DETROIT",
"state": "MI",
"postal_code": "482075006",
"telephone_number": "504-616-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 OAKMAN BLVD STE 201",
"city": "DETROIT",
"state": "MI",
"postal_code": "482382849",
"telephone_number": "313-461-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER-HOUSTON",
"first_name": "DIANNE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2022-12-16",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "4668",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901018023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.