NPIMap

Organization Active NPI

Dentists R US

  • General Practice Dentistry
  • Troy, MI
National Provider Identifier
1942367628
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016829 Issued in MI
Legal business name
DENTISTS R US
Practice address
38865 Dequindre Rd
Suite 105
Troy, MI 48083-6812
Phone
(248) 879-7755
Fax
(248) 879-4526
NPI assigned
Jan 2, 2007
Last updated
Jan 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Dr. Sheretta Oates, DDSNPI 1770763625
Title
President Company
Phone
(248) 879-7755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901016829 MI Primary

Addresses

Primary practice location

38865 Dequindre Rd
Suite 105
Troy, MI 48083-6812

Mailing address

38865 Dequindre Rd
Suite 105
Troy, MI 48083-6812
Phone (248) 879-7755

Other identifiers 1

IdentifierTypeStateIssuer
4169910MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Dentists R US3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1942367628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38865 DEQUINDRE RD",
            "address_2": "SUITE 105",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836812",
            "telephone_number": "248-879-7755",
            "fax_number": "248-879-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38865 DEQUINDRE RD",
            "address_2": "SUITE 105",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836812",
            "telephone_number": "248-879-7755",
            "fax_number": "248-879-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS R US",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "OATES",
        "authorized_official_first_name": "SHERETTA",
        "authorized_official_title_or_position": "PRESIDENT COMPANY",
        "authorized_official_telephone_number": "248-879-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4169910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.