NPIMap

Organization Active NPI

Office 3 PLLC

  • Dental Clinic/Center
  • Livonia, MI
National Provider Identifier
1528567401
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OFFICE 3 PLLC
Practice address
31590 Schoolcraft Rd
Livonia, MI 48150
Phone
(248) 931-1151
NPI assigned
Feb 6, 2018
Organization subpart
Yes
Parent organization
DENTAL SPECIALISTS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Dr. Randall ShawNPI 1891942165
Title
Manager
Phone
(248) 931-1151

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2901013819 MI
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2901010706 MI
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

31590 Schoolcraft Rd
Livonia, MI 48150

Mailing address

350 Pine Ridge Dr
Bloomfield Hills, MI 48304-2139
Phone (248) 931-1151

Other identifiers 2

IdentifierTypeStateIssuer
1174669584OtherDENTIST
1770628687OtherMINPPES

National Provider Directory

National Provider Directory
Part of
Dental Specialists PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1528567401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE RIDGE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042139",
            "telephone_number": "248-931-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31590 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48150",
            "telephone_number": "248-931-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE 3 PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL SPECIALISTS PLLC",
        "enumeration_date": "2018-02-06",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-931-1151",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901013819",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010706",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1174669584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1770628687",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.