Organization Active NPI

Comprehensive Breast Centers

  • Registered Nurse
  • Ann Arbor, MI
National Provider Identifier
1053480939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
COMPREHENSIVE BREAST CENTERS
Practice address
4012 Clark Rd
Ann Arbor, MI 48105-9505
Phone
(734) 677-8200
Fax
(734) 677-8296
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maureen Mason
Title
Biller
Phone
(734) 677-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

4012 Clark Rd
Ann Arbor, MI 48105-9505

Mailing address

4012 Clark Rd
Ann Arbor, MI 48105-9505
Phone (734) 677-8200

National Provider Directory

National Provider Directory

Locations

4012 Clark Rd
Ann Arbor, MI 48105
Phone (313) 973-2770

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053480939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 CLARK RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059505",
            "telephone_number": "734-677-8200",
            "fax_number": "734-677-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 CLARK RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059505",
            "telephone_number": "734-677-8200",
            "fax_number": "734-677-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BREAST CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "734-677-8200"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.