Individual provider Active NPI

Jaie Wakade Oak, D.D.S.

  • Dentist
  • East Lansing, MI
National Provider Identifier
1558700799
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020875 Issued in MI
Practice address
714 Abbot Rd
East Lansing, MI 48823-3101
Phone
(517) 337-0351
NPI assigned
Jun 20, 2013
Last updated
Jun 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020875 MI Primary

Addresses

Primary practice location

714 Abbot Rd
East Lansing, MI 48823-3101

Mailing address

2744 Barclay Way
Ann Arbor, MI 48105-9458
Phone (248) 613-1848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901020875MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiggy Lazer, PLLC Dba East Lansing Family Dentistry PastSince Sep 17, 2023 Accepting new patients
Craig a. Fedore,D.D.S., P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1558700799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 BARCLAY WAY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059458",
            "telephone_number": "248-613-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 ABBOT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233101",
            "telephone_number": "517-337-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAK",
        "first_name": "JAIE",
        "middle_name": "WAKADE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.