NPIMap

Organization Active NPI

Oak Valley Dental Associates, P.C.

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1932169802
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
012816 Issued in MI
Legal business name
OAK VALLEY DENTAL ASSOCIATES, P.C.
Practice address
2411 Oak Valley Dr
Suite 600
Ann Arbor, MI 48103-8876
Phone
(734) 761-1122
Fax
(734) 761-9664
NPI assigned
Mar 24, 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. Josef N. Kolling, D.D.S., M.S.NPI 1013016948
Title
Owner/Dentist
Phone
(734) 761-1122

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 012816 MI Primary

Addresses

Primary practice location

2411 Oak Valley Dr
Suite 600
Ann Arbor, MI 48103-8876

Mailing address

2411 Oak Valley Dr
Suite 600
Ann Arbor, MI 48103-8876
Phone (734) 761-1122

National Provider Directory

National Provider Directory

Locations

2411 Oak Valley Dr
Ste 600
Ann Arbor, MI 48103
Phone (734) 761-1122

Practitioners & affiliated clinicians

Practitioners 5

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": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932169802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 OAK VALLEY DR",
            "address_2": "SUITE 600",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038876",
            "telephone_number": "734-761-1122",
            "fax_number": "734-761-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 OAK VALLEY DR",
            "address_2": "SUITE 600",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038876",
            "telephone_number": "734-761-1122",
            "fax_number": "734-761-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK VALLEY DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOLLING",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "734-761-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "012816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, 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.