NPIMap

Organization Active NPI

Jessica J Kakos DDS, PC

  • Dentist
  • Farmington Hills, MI
National Provider Identifier
1992193882
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018996 Issued in MI
Legal business name
JESSICA J KAKOS DDS, PC
Doing business as
Kakos Dental
Practice address
32905 W 12 Mile Rd
Suite 240
Farmington Hills, MI 48334-3342
Phone
(248) 489-5950
Fax
(248) 489-9667
NPI assigned
Dec 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Dr. Jessica Jameel Kakos, DDS
Title
Dentist
Phone
(248) 489-5950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901018996 MI Primary

Addresses

Primary practice location

32905 W 12 Mile Rd
Suite 240
Farmington Hills, MI 48334-3342

Mailing address

32905 W 12 Mile Rd
Suite 240
Farmington Hills, MI 48334-3342
Phone (248) 489-5950

Other names 1

  • Kakos Dental Doing business as

National Provider Directory

National Provider Directory

Locations

32905 W 12 Mile Rd
Ste 240
Farmington Hills, MI 48334
Phone (248) 489-5950

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": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1992193882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD",
            "address_2": "SUITE 240",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343342",
            "telephone_number": "248-489-5950",
            "fax_number": "248-489-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD",
            "address_2": "SUITE 240",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343342",
            "telephone_number": "248-489-5950",
            "fax_number": "248-489-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA J KAKOS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "KAKOS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "JAMEEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-489-5950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kakos Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.