Organization Active NPI

Troy Metro Dental

  • Dentist
  • Troy, MI
National Provider Identifier
1689109951
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020857 Issued in MI
Legal business name
TROY METRO DENTAL
Practice address
3962 Rochester Rd
Troy, MI 48083-5248
Phone
(840) 777-9022
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Dr. Ramakrishna Nallapaneni
Title
Dentist/Owner
Phone
(847) 777-9022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901020857 MI Primary

Addresses

Primary practice location

3962 Rochester Rd
Troy, MI 48083-5248

Mailing address

1780 Oak Forest Dr E
Troy, MI 48085-4102

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1689109951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 OAK FOREST DR E",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3962 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835248",
            "telephone_number": "840-777-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY METRO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "NALLAPANENI",
        "authorized_official_first_name": "RAMAKRISHNA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "847-777-9022",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.