NPIMap

Organization Active NPI

Carolyn S Way DDS PC

  • Dentist
  • Birmingham, MI
National Provider Identifier
1699889618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13531 Issued in MI
Legal business name
CAROLYN S WAY DDS PC
Practice address
751 Chestnut St
Suite 103
Birmingham, MI 48009-6461
Phone
(248) 647-1144
Fax
(248) 647-0380
NPI assigned
Aug 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carolyn Stehr Way, DDSNPI 1932384708
Title
Owner President
Phone
(248) 647-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13531 MI Primary

Addresses

Primary practice location

751 Chestnut St
Suite 103
Birmingham, MI 48009-6461

Mailing address

751 Chestnut St
Suite 103
Birmingham, MI 48009-6461
Phone (248) 647-1144

Other identifiers 1

IdentifierTypeStateIssuer
3032222MedicaidMI

National Provider Directory

National Provider Directory

Locations

751 Chestnut St
Ste 103
Birmingham, MI 48009
Phone (248) 647-1144

Practitioners & affiliated clinicians

Practitioners 2

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699889618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 CHESTNUT ST",
            "address_2": "SUITE 103",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096461",
            "telephone_number": "248-647-1144",
            "fax_number": "248-647-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 CHESTNUT ST",
            "address_2": "SUITE 103",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096461",
            "telephone_number": "248-647-1144",
            "fax_number": "248-647-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN S WAY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "STEHR",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "248-647-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "13531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3032222",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.