Organization Active NPI

Rochester Dentistry, PLLC

  • General Practice Dentistry
  • Rochester, MI
National Provider Identifier
1962070367
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROCHESTER DENTISTRY, PLLC
Practice address
203 Walnut Blvd
Rochester, MI 48307-2056
Phone
(586) 752-4560
Fax
(586) 752-0895
NPI assigned
Jun 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Shirley Nakash, DDS
Title
Owner
Phone
(586) 752-4560

Specialties & licenses 1

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

Addresses

Primary practice location

203 Walnut Blvd
Rochester, MI 48307-2056

Mailing address

203 Walnut Blvd
Rochester, MI 48307-2056

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rochesterdentistry@gmail.com

National Provider Directory

National Provider Directory

Locations

203 Walnut Blvd
Rochester, MI 48307
Phone (248) 651-0455

Practitioners & affiliated clinicians

Practitioners 2

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": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1962070367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WALNUT BLVD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WALNUT BLVD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072056",
            "telephone_number": "586-752-4560",
            "fax_number": "586-752-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "NAKASH",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-752-4560",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rochesterdentistry@gmail.com",
            "affiliation": "N",
            "address_1": "203 Walnut Blvd",
            "city": "Rochester",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483072056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.