Organization Active NPI

Tamara Kasmikha PLLC

  • General Practice Dentistry
  • Sterling Heights, MI
National Provider Identifier
1760011563
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TAMARA KASMIKHA PLLC
Practice address
43928 Mound Rd Ste 150
Sterling Heights, MI 48314-2082
Phone
(586) 803-1901
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Tamara Kasmikha
Title
DDS
Phone
(248) 227-9239

Specialties & licenses 1

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

Addresses

Primary practice location

43928 Mound Rd Ste 150
Sterling Heights, MI 48314-2082

Mailing address

43928 Mound Rd Ste 150
Sterling Heights, MI 48314-2082
Phone (586) 803-1901

Other names 1

  • Dynamic Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.godynamicdental.com

National Provider Directory

National Provider Directory

Locations

43928 Mound Rd
Ste 150
Sterling Heights, MI 48314
Phone (586) 803-1901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1760011563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43928 MOUND RD STE 150",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142082",
            "telephone_number": "586-803-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43928 MOUND RD STE 150",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142082",
            "telephone_number": "586-803-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA KASMIKHA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "KASMIKHA",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "248-227-9239"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.godynamicdental.com",
            "affiliation": "N",
            "address_1": "43928 Mound Rd Ste 150",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483142082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dynamic Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.