NPIMap

Organization Active NPI

Elderly Oral Health Care Consulting

  • Dental Hygienist
  • Southfield, MI
National Provider Identifier
1942616958
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
ELDERLY ORAL HEALTH CARE CONSULTING
Practice address
25572 W 12 Mile Rd
204
Southfield, MI 48034-8047
Phone
(313) 220-9660
NPI assigned
Jul 10, 2014
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Sean Jackson, RDH
Title
Ceo/Dental Hygienist
Phone
(313) 220-9660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X NU Primary

Addresses

Primary practice location

25572 W 12 Mile Rd
204
Southfield, MI 48034-8047

Mailing address

25572 W 12 Mile Rd
204
Southfield, MI 48034-8047
Phone (313) 220-9660

National Provider Directory

National Provider Directory
Tax ID family
Elderly Oral Health Care Consulting2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1942616958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25572 W 12 MILE RD",
            "address_2": "204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348047",
            "telephone_number": "313-220-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25572 W 12 MILE RD",
            "address_2": "204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348047",
            "telephone_number": "313-220-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY ORAL HEALTH CARE CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO/DENTAL HYGIENIST",
        "authorized_official_telephone_number": "313-220-9660",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.