Lakeview Family Dental - Keego Harbor

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LAKEVIEW FAMILY DENTAL - KEEGO HARBOR

Practice address

2819 Orchard Lake Rd
Keego Harbor, MI 48320-1448

Phone

(248) 683-2323

NPI assigned

Feb 1, 2021

Last updated

Feb 1, 2021By 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

Dr. Robert Gordon Nakisher, DDSNPI 1790876977

Title

Member

Phone

(248) 230-3362

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Robert Gordon Nakisher, D.D.S.

  • Dentist
  • West Bloomfield, MI
  • NPI 1790876977
  Authorized official Same address or phone
• Heather Gayle Daitch, D.D.S.

  • General Practice Dentistry
  • Keego Harbor, MI
  • NPI 1801980925
  NPD (past)
• Mark I Rosenberg, D.D.S

  • General Practice Dentistry
  • Keego Harbor, MI
  • NPI 1639268519
  NPD (past)

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1578154688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 PONTIAC TRL",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232017",
            "telephone_number": "248-363-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 ORCHARD LAKE RD",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201448",
            "telephone_number": "248-683-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW FAMILY DENTAL - KEEGO HARBOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "NAKISHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-230-3362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jamnik, D.D.S., P.C.
• John F Jamnik D.D.S.,P.C
• Keego Family Practice
• Keego Harbor Orthopedic
• Keego Harbor Urgent Care
• Lockwood Chiropractic Clinic, PLLC
• Amanda Lockwood, D.C.
• Megan Maciag, RD
• Mark I Rosenberg DDS PC
• William Robert McMullen, RPH

• Dentist in Keego Harbor, MI
• Providers in Keego Harbor, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.