NPIMap

Organization Active NPI

Paint Creek Dentistry P.C.

  • General Practice Dentistry
  • Rochester, MI
National Provider Identifier
1912929977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13306 Issued in MI
Legal business name
PAINT CREEK DENTISTRY P.C.
Practice address
4450 Collins Rd
Rochester, MI 48306-1620
Phone
(248) 652-3663
Fax
(248) 652-2305
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald Charles Miakinin, D.D.S.NPI 1306903307
Title
Dentist/Owner
Phone
(248) 652-3663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13306 MI Primary

Addresses

Primary practice location

4450 Collins Rd
Rochester, MI 48306-1620

Mailing address

4450 Collins Rd
Rochester, MI 48306-1620
Phone (248) 652-3663

Other names 1

  • Paint Creek Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

4450 Collins Rd
Rochester, MI 48306
Phone (248) 652-3663

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912929977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 COLLINS RD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061620",
            "telephone_number": "248-652-3663",
            "fax_number": "248-652-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 COLLINS RD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061620",
            "telephone_number": "248-652-3663",
            "fax_number": "248-652-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINT CREEK DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIAKININ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "248-652-3663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paint Creek Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

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