Provider Type Icon

DR. KISHAWN OLASUPO KOLE-JAMES D.D.S NPI 1073688818


NPI Information

NPI: 1073688818
Provider Name: DR. KISHAWN OLASUPO KOLE-JAMES, D.D.S
Classification: Dentist - 1223X0400X
Entity Type: Individual

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
1799 E GRAND BLVD
DETROIT, MI
ZIP 48211
Phone: (313) 282-5651
Get Directions

DR. Kishawn Olasupo Kole-james, D.D.S is an orthodontics and dentofacial orthopedics dentist in Detroit, MI. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. DR. Kishawn Olasupo Kole-james, D.D.S NPI is 1073688818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1799 E GRAND BLVD
DETROIT, MI
ZIP 48211-145
Phone: (313) 282-5651

The enumeration date for this NPI number is 11/21/2006 and was last updated on 9/30/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice2901019444MICHIGANNo
21223X0400XDentistOrthodontics and Dentofacial Orthopedics19444MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14935200MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.