Active NPI
Joanna Marie Dhaliwal, NP
- Family Nurse Practitioner
- Clarkston, MI
National Provider Identifier
1770737066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704239411
- Practice address
- 7210 N Main St
Suite 200
Clarkston, MI 48346-1575 - Phone
- (248) 625-0372
- Fax
- (248) 625-0239
- NPI assigned
- Nov 12, 2008
- Last updated
- Nov 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704239411 | MI | Primary |
Addresses
Primary practice location
7210 N Main St
Suite 200
Clarkston, MI 48346-1575
Mailing address
7210 N Main St
Suite 200
Clarkston, MI 48346-1575
Phone (248) 625-0372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven S. Zeldes MD PC | Current | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2495/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1770737066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7210 N MAIN ST",
"address_2": "SUITE 200",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483461575",
"telephone_number": "248-625-0372",
"fax_number": "248-625-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7210 N MAIN ST",
"address_2": "SUITE 200",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483461575",
"telephone_number": "248-625-0372",
"fax_number": "248-625-0239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHALIWAL",
"first_name": "JOANNA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704239411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.