Frank G. Radtke D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FRANK G. RADTKE D.D.S., P.C.

Practice address

2128 W Vienna Rd
Clio, MI 48420-2128

Phone

(810) 686-8870

Fax

(810) 686-6833

NPI assigned

Aug 4, 2020

Last updated

Aug 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Brindley

Title

Office Manager

Phone

(810) 686-8870

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frank Gerard Radtke, D.D.S.

  • General Practice Dentistry
  • Clio, MI
  • NPI 1902924822
  NPD

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1548870629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484200039",
            "telephone_number": "810-686-8870",
            "fax_number": "810-686-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 W VIENNA RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202128",
            "telephone_number": "810-686-8870",
            "fax_number": "810-686-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK G. RADTKE D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "BRINDLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-686-8870"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "radtkedental.org",
            "affiliation": "N",
            "address_1": "2128 W Vienna Rd",
            "city": "Clio",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484202128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• General Practice Dentistry in Clio, MI
• Providers in Clio, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.