Office 4 PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OFFICE 4 PLLC

Practice address

2555 Spring Arbor Rd
Jackson, MI 49203-3601

Phone

(517) 787-8321

NPI assigned

Sep 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Randall Loren Shaw, DDS, MS.

Title

Owner

Phone

(248) 931-1151

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1578045548",
    "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",
            "fax_number": "248-594-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033601",
            "telephone_number": "517-787-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE 4 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-931-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1770597890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1316232655",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Obi, DO
• Jason Obits, LLMSW
• Occupational Health Program of Jackson
• Patricia Wells Oconnell, LMSW
• Odd Fellow & Rebekah Home of Michigan
• Delis Ogando, DDS
• Francis Ogunedo
• Oluwaseun Ogunsuyi Oguntomole
• Paulina Ohrey
• Colin T Okeefe, BSW

• Dental Clinic/Center in Jackson, MI
• Providers in Jackson, MI by specialty
• Dental Clinic/Center in Michigan

• 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.