Mark Oldakowski, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901020377 Issued in MI

Practice address

714 Abbot Rd
East Lansing, MI 48823-3101

Phone

(517) 337-0351

NPI assigned

Jun 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Craig a. Fedore,D.D.S., P.C.

  • General Practice Dentistry
  • East Lansing, MI
  • NPI 1972583334
  NPD (past)
• Tiggy Lazer, PLLC Dba East Lansing Family Dentistry

  • Dental Clinic/Center
  • East Lansing, MI
  • NPI 1942087127
  NPD (past)

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1598059958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W DAVIS AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035414"
        },
        {
            "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": "OLDAKOWSKI",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Oberst, FNP-C
• Kosisochi Michael Obinwanne, M.D
• Octave Behavioral Michigan PC
• Karen Denise Ogard, L.P.N.
• Marissa Ojile
• Kurynn Oleneack
• Jordan L Olesnavich, PA-C
• Lisa J Oliveri-Lepain, DO
• Adesuwa Benedicta Olomu, M.D
• Hannah K Olson

• Dentist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.