Organization Active NPI

Christine a Newton DDS PC

Doing business as Elder Dental Care

  • Dentist
  • Rochester Hills, MI
National Provider Identifier
1851371173
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16493 Issued in MI
Legal business name
CHRISTINE A NEWTON DDS PC
Doing business as
Elder Dental Care
Practice address
1460 Walton Blvd Ste 214
Rochester Hills, MI 48309-1779
Phone
(248) 651-0904
Fax
(248) 651-3316
NPI assigned
Jan 20, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Christine A Newton, DDS
Title
President
Phone
(248) 651-0904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 16493 MI Primary

Addresses

Primary practice location

1460 Walton Blvd Ste 214
Rochester Hills, MI 48309-1779

Mailing address

1460 Walton Blvd Ste 214
Rochester Hills, MI 48309-1779
Phone (248) 651-0904

Other identifiers 1

IdentifierTypeStateIssuer
4362142MedicaidMI

Other names 1

  • Elder Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1460 Walton Blvd
Ste 214
Rochester Hills, MI 48309
Phone (248) 651-0892

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1851371173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD STE 214",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091779",
            "telephone_number": "248-651-0904",
            "fax_number": "248-651-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD STE 214",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091779",
            "telephone_number": "248-651-0904",
            "fax_number": "248-651-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE A NEWTON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-651-0904",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "16493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4362142",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elder Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.