Oakland Lifestyle Medicine-PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OAKLAND LIFESTYLE MEDICINE-PLLC

Practice address

36800 Woodward Ave Ste 210
Bloomfield Hills, MI 48304-0917

Phone

(248) 543-3566

Fax

(248) 543-2628

NPI assigned

Oct 24, 2022

Last updated

May 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Dean, DCNPI 1891932273

Title

Owner

Phone

(248) 703-6288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 6

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.

• Jonathan Gifford Dean, D.C.

  • Chiropractor
  • Bloomfield Hills, MI
  • NPI 1891932273
  Medicare reassignment Care Compare group NPD Authorized official
• Casey Charlebois, MS,MPT

  • Physical Therapist
  • Bloomfield Hills, MI
  • NPI 1942525449
  Medicare reassignment Care Compare group NPD
• Christophe Brundage Dean, DC

  • Chiropractor
  • Bloomfield Hills, MI
  • NPI 1225029382
  Medicare reassignment Care Compare group NPD
• Leigh A. Dobbs, P.A.

  • Physician Assistant
  • Bingham Farms, MI
  • NPI 1164492229
  Medicare reassignment Care Compare group
• Melanie Elaine Ilitch, PA

  • Physician Assistant
  • Bloomfield Hills, MI
  • NPI 1497043970
  Medicare reassignment
• Charles Michael Roll, P.T.

  • Physical Therapist
  • Bloomfield, MI
  • NPI 1770756629
  NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1962129544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36800 WOODWARD AVE STE 210",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040917",
            "telephone_number": "248-543-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36800 WOODWARD AVE STE 210",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040917",
            "telephone_number": "248-543-3566",
            "fax_number": "248-543-2628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28931 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MI",
            "postal_code": "480720923",
            "country_code": "US",
            "telephone_number": "248-543-3566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OAKLAND LIFESTYLE MEDICINE-PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-703-6288",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Marie O'Shell, M.D.
• Oakland Bone & Joint Surgery P.C.
• Oakland Dermatology Associates (Neldagae S Chisa MD)
• Oakland Dermatology Associates PC
• Oakland Infectious Disease Associates PC
• Oakland Medical Supplies, Inc (Oakland Medical Supplies)
• Oakland Physician Associates, P.C.
• Oakland Psychiatric Associates PC
• Oakland Psychological Clinic
• Oakland Psychological Clinic, P.C.

• General Practice Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.