Mika Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901020672 Issued in MI

Legal business name

MIKA ORTHODONTICS

Practice address

110 N. Main St.
Perry, MI 48872

Phone

(517) 625-5552

Fax

(517) 625-5049

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Shuron Renee Holder

Title

Office Manager

Phone

(517) 625-5552

Specialties & licenses 1

Addresses

Practitioners 1

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.

• David E Mika II, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Perry, MI
  • NPI 1902168271
  NPD (past)

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1023477312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107",
            "city": "PERRY",
            "state": "MI",
            "postal_code": "48872",
            "telephone_number": "517-625-5552",
            "fax_number": "517-625-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N. MAIN ST.",
            "city": "PERRY",
            "state": "MI",
            "postal_code": "48872",
            "telephone_number": "517-625-5552",
            "fax_number": "517-625-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKA ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "SHURON",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-625-5552",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901020672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark E. Potocki DDS, PC
• Stacey Matthews, P.T.
• David A McCaughna
• Memorial Hospital (Memorial Healthcare)
• Michigan Autism Solutions LLC
• David E Mika II, D.D.S., M.S.D.
• Tammy Ann Mika, DDS
• Lucinda L Molzan, CD(DONA)
• Cory Michael O'Brien, R.PH
• Robbie J Pairolero, O.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Perry, MI
• Providers in Perry, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.