Organization Active NPI

Jana Tumpkin McQueen D.D.S. PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rochester Hills, MI
National Provider Identifier
1942335583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901015114 Issued in MI
Legal business name
JANA TUMPKIN MCQUEEN D.D.S. PC
Practice address
105 S Livernois Rd
Rochester Hills, MI 48307-1837
Phone
(248) 601-3100
NPI assigned
Feb 23, 2007
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
Jana Tumpkin McQueen, DDS
Title
Owner
Phone
(248) 559-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2901015114 MI Primary

Addresses

Primary practice location

105 S Livernois Rd
Rochester Hills, MI 48307-1837

Mailing address

29702 Southfield Rd Ste H
Southfield, MI 48076-2096
Phone (248) 559-4800

Other identifiers 1

IdentifierTypeStateIssuer
2486013100OtherMIORTHODONTIST

National Provider Directory

National Provider Directory
Tax ID family
Jana Tumpkin McQueen DDS PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 S Livernois Rd
Rochester Hills, MI 48307
Phone (248) 601-3100

29702 Southfield Rd
Ste H
Southfield, MI 48076
Phone (248) 559-4800

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942335583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29702 SOUTHFIELD RD STE H",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762096",
            "telephone_number": "248-559-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S LIVERNOIS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071837",
            "telephone_number": "248-601-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANA TUMPKIN MCQUEEN D.D.S. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUMPKIN MCQUEEN",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-559-4800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901015114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHODONTIST",
            "identifier": "2486013100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, 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.