Active NPI
A1 Family Dentistry of Waterford,PLC
- Dental Clinic/Center
- Waterford, MI
National Provider Identifier
1578023883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- A1 FAMILY DENTISTRY OF WATERFORD,PLC
- Practice address
- 2759 Elizabeth Lake Rd
Waterford, MI 48328-3291 - Phone
- (586) 226-0638
- NPI assigned
- Mar 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aneel Kaur Randhawa, DDS
- Title
- Owner
- Phone
- (586) 226-0638
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2759 Elizabeth Lake Rd
Waterford, MI 48328-3291
Mailing address
50481 Koss Dr
Macomb, MI 48044-6320
Phone (586) 226-0638
National Provider Directory
National Provider DirectoryLocations
2759 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 681-4470
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Warren, MI
- NPI 1790841633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553212800000",
"number": "1578023883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50481 KOSS DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480446320",
"telephone_number": "586-226-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2759 ELIZABETH LAKE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283291",
"telephone_number": "586-226-0638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A1 FAMILY DENTISTRY OF WATERFORD,PLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-22",
"last_updated": "2019-03-22",
"status": "A",
"authorized_official_last_name": "RANDHAWA",
"authorized_official_first_name": "ANEEL",
"authorized_official_middle_name": "KAUR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-226-0638",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.