Lakshmi Wakade, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.029652 Issued in IL

Practice address

3213 Rochester Rd
Royal Oak, MI 48073-3553

Phone

(248) 629-1830

NPI assigned

Jan 30, 2014

Last updated

Dec 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1992128714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 WOODWARD AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162311",
            "telephone_number": "630-541-3119",
            "fax_number": "630-324-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 ROCHESTER RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733553",
            "telephone_number": "248-629-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKADE",
        "first_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joesina Manalel Wadehra
• Rasha Waheed, M.D.
• Heather K. Wahl, CRNA
• Matthew Waineo, DPT
• Muaaz Wajahath, MD
• Mallory Nicole Wales, D.C.
• Walgreen Co (Walgreens #05426)
• Walgreen Co (Walgreens #04748)
• Leslie Walicki
• Amanda Sue Walker, MSN, NNP-BC

• General Practice Dentistry in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.