Individual provider Active NPI

Joan Wilkoff, D.M.D.

  • General Practice Dentistry
  • Berkley, MI
National Provider Identifier
1700098373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014849 Issued in MI
Practice address
2645 Coolidge Hwy
Berkley, MI 48072-1554
Phone
(248) 541-5510
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 014849 MI Primary

Addresses

Primary practice location

2645 Coolidge Hwy
Berkley, MI 48072-1554

Mailing address

2645 Coolidge Hwy
Berkley, MI 48072-1554
Phone (248) 541-5510

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160419000241 MI Order and Referring Only - DentistPractitioner - Dentist 4789982141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014849MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Berkley Dental PC CurrentSince Aug 2, 2020 Accepting new patients
Berkley Family Dental PLLC PastSince Aug 2, 2020 Accepting new patients

Locations

2645 Coolidge Hwy
Berkley, MI 48072
Phone (248) 541-5510

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700098373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721554",
            "telephone_number": "248-541-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721554",
            "telephone_number": "248-541-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKOFF",
        "first_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "014849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.