Individual provider Active NPI

Yuksel Erpardo, DDS, PHD

  • Oral and Maxillofacial Surgery (Dentist)
  • Farmington Hills, MI
National Provider Identifier
1073808663
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901019495 Issued in MI
Practice address
Center for Implant Dentistry
28124 Orchard Lake Rd, Suite 100
Farmington Hills, MI 48334
Phone
(248) 579-5922
Fax
(313) 202-8275
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901019495 MI
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901019495 MI Primary

Addresses

Primary practice location

Center for Implant Dentistry
28124 Orchard Lake Rd, Suite 100
Farmington Hills, MI 48334

Mailing address

35295 Quaker Way
28124 Orchard Lake Rd, Suite 100
Farmington Hills, MI 48331-2039
Phone (352) 213-1646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160512000064 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3476842634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2901019495MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Implant Dentistry Oral and Maxillofacial Surgery Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1073808663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35295 QUAKER WAY",
            "address_2": "28124 ORCHARD LAKE RD, SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312039",
            "telephone_number": "352-213-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTER FOR IMPLANT DENTISTRY",
            "address_2": "28124 ORCHARD LAKE RD, SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-579-5922",
            "fax_number": "313-202-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERPARDO",
        "first_name": "YUKSEL",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019495",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901019495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.