Organization Active NPI

Hanley L. Kaiser DDS PC

  • General Practice Dentistry
  • Warren, MI
National Provider Identifier
1841491248
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901009847 Issued in MI
Legal business name
HANLEY L. KAISER DDS PC
Practice address
23105 Van Dyke Ave
Warren, MI 48089-1622
Phone
(586) 759-5353
Fax
(586) 759-0044
NPI assigned
May 31, 2007
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Dr. Hanley Lawrence Kaiser, DDS
Title
President
Phone
(586) 759-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2901009847 MI Primary

Addresses

Primary practice location

23105 Van Dyke Ave
Warren, MI 48089-1622

Mailing address

23105 Van Dyke Ave
Warren, MI 48089-1622
Phone (586) 759-5353

Other names 1

  • Superteeth Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1841491248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23105 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891622",
            "telephone_number": "586-759-5353",
            "fax_number": "586-759-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23105 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891622",
            "telephone_number": "586-759-5353",
            "fax_number": "586-759-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANLEY L. KAISER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "HANLEY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-759-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901009847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superteeth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.