Office 6 PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OFFICE 6 PLLC

Practice address

20136 Mack Ave
Grosse Pointe Woods, MI 48236-1820

Phone

(313) 886-9355

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Randall Shaw, DDS, MS.

Title

Owner

Phone

(248) 931-1151

Specialties & licenses 1

Addresses

Other names 1

• Wellspring Dental Doing business as

Locations

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1881290526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE RIDGE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042139",
            "telephone_number": "248-931-1151",
            "fax_number": "248-594-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20136 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361820",
            "telephone_number": "313-886-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE 6 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-06",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-931-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nutrigenomic Medicine PC
• Chioma Nweke, PHARMD
• Melissa Ann O'Keefe, CCC-SLP
• Robert M Obryan, M.D.
• Daniel Matthew Ockner, MD
• Bruce Ogilvy
• Tonya Maria Omozokpia
• Fethi Onal
• Christina Oney, PHD
• Optalis Grosse Pointe Opco LLC

• Dental Clinic/Center in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.