Organization Active NPI

Riverview Pediatric Dental Care PC

  • Pediatric Dentistry
  • Riverview, MI
National Provider Identifier
1922696939
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
RIVERVIEW PEDIATRIC DENTAL CARE PC
Practice address
14525 Sibley Rd Ste 2
Riverview, MI 48193-7756
Phone
(313) 404-1061
Fax
(734) 667-1655
NPI assigned
Jan 5, 2021
Last updated
Jan 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Hassan Oueis, DDSNPI 1386813244
Title
Owner
Phone
(313) 404-1061

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
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

14525 Sibley Rd Ste 2
Riverview, MI 48193-7756

Mailing address

45972 Windridge LN
Canton, MI 48188-6223
Phone (313) 404-1061

National Provider Directory

National Provider Directory

Locations

14525 Sibley Rd
Ste 2
Riverview, MI 48193
Phone (313) 404-1061

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1922696939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45972 WINDRIDGE LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481886223",
            "telephone_number": "313-404-1061",
            "fax_number": "734-667-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 SIBLEY RD STE 2",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937756",
            "telephone_number": "313-404-1061",
            "fax_number": "734-667-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW PEDIATRIC DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "OUEIS",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-404-1061",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.