Organization Active NPI

Onyx and Dedicated Dental Services

  • Preferred Provider Organization
  • Detroit, MI
National Provider Identifier
1851750608
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
2902003560 Issued in MI
Legal business name
ONYX AND DEDICATED DENTAL SERVICES
Practice address
645 Griswold St
Suite 224
Detroit, MI 48226-4105
Phone
(313) 263-0230
Fax
(313) 263-0320
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Ms. Sheila D. Hall, R.D.H.
Title
Dental Hygienist/Office Administrat
Phone
(248) 763-3384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 2902003560 MI Primary

Addresses

Primary practice location

645 Griswold St
Suite 224
Detroit, MI 48226-4105

Mailing address

645 Griswold St
Suite 224
Detroit, MI 48226-4105
Phone (313) 263-0230

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1851750608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 GRISWOLD ST",
            "address_2": "SUITE 224",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264105",
            "telephone_number": "313-263-0230",
            "fax_number": "313-263-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 GRISWOLD ST",
            "address_2": "SUITE 224",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264105",
            "telephone_number": "313-263-0230",
            "fax_number": "313-263-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONYX AND DEDICATED DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DENTAL HYGIENIST/OFFICE ADMINISTRAT",
        "authorized_official_telephone_number": "248-763-3384",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "2902003560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.