NPIMap

Organization Active NPI

Miles of Smiles Dentistry

  • General Practice Dentistry
  • Flint, MI
National Provider Identifier
1760951214
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MILES OF SMILES DENTISTRY
Practice address
5621 Leslie CT
Flint, MI 48504
Phone
(810) 308-0586
NPI assigned
Nov 14, 2018
Last updated
Nov 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Dr. Rudolph Delano Wheaton, DDS
Title
Director
Phone
(810) 308-5086

Specialties & licenses 1

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

Addresses

Primary practice location

5621 Leslie CT
Flint, MI 48504

Mailing address

5621 Leslie CT.
Flint, MI 48504
Phone (810) 308-0586

National Provider Directory

National Provider Directory
Tax ID family
Miles of Smiles Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1760951214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 LESLIE CT.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48504",
            "telephone_number": "810-308-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 LESLIE CT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48504",
            "telephone_number": "810-308-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES OF SMILES DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "WHEATON",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "DELANO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "810-308-5086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.