Organization Active NPI

Oakland Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Troy, MI
National Provider Identifier
1720697063
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
OAKLAND ORTHODONTICS
Practice address
2789 Rochester Rd
Troy, MI 48083-1920
Phone
(248) 824-3097
NPI assigned
Jul 22, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Archana Dhawan, MS ( ORTHODONTICS)NPI 1225581515
Title
Orthodontist
Phone
(248) 824-3097

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

2789 Rochester Rd
Troy, MI 48083-1920

Mailing address

4781 Avondale Ter
Bloomfield Hills, MI 48304-3603
Phone (248) 824-3097

Other identifiers 1

IdentifierTypeStateIssuer
2901021806OtherMIN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a

National Provider Directory

National Provider Directory

Locations

2789 Rochester Rd
Troy, MI 48083
Phone (248) 824-3097

Practitioners & affiliated clinicians

Practitioners 1

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": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1720697063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 AVONDALE TER",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043603",
            "telephone_number": "248-824-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831920",
            "telephone_number": "248-824-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "DHAWAN",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "248-824-3097",
        "authorized_official_credential": "MS ( ORTHODONTICS)"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "2901021806",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "2789 Rochester Rd",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480831920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 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.