NPIMap

Organization Active NPI

A1 Family Dentistry of Marine City,PLC

  • General Practice Dentistry
  • Marine City, MI
National Provider Identifier
1619305596
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019199 Issued in MI
Legal business name
A1 FAMILY DENTISTRY OF MARINE CITY,PLC
Practice address
162 S Water St
Marine City, MI 48039-1687
Phone
(810) 765-4055
NPI assigned
Oct 31, 2013
Last updated
Oct 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Authorized official

Name
Dr. Aneel Kaur Randhawa, DDSNPI 1790841633
Title
Owner
Phone
(586) 226-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901019199 MI Primary

Addresses

Primary practice location

162 S Water St
Marine City, MI 48039-1687

Mailing address

50481 Koss Dr
Macomb, MI 48044-6320
Phone (586) 226-0638

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1619305596",
    "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": "162 S WATER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480391687",
            "telephone_number": "810-765-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 FAMILY DENTISTRY OF MARINE CITY,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "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": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marine City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.