Jacqueline Rhea Fatt, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

13728 Issued in MD

Practice address

1101 N Ann Arbor St
Saline, MI 48176-2000

Phone

(734) 429-2522

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Powell and Udrys DDS PC

  • Dentist
  • Saline, MI
  • NPI 1477727188
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1093926750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N ANN ARBOR ST",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481762000",
            "telephone_number": "410-209-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N ANN ARBOR ST",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481762000",
            "telephone_number": "734-429-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATT",
        "first_name": "JACQUELINE",
        "middle_name": "RHEA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangelical Homes of Michigan
• Evangelical Homes of Michigan
• Ez Care, Inc.
• Rebecca Fall
• Nada Farhat, PHARMD
• Janet Fay-Dumaine, PSY. D.
• Itzel Fernandez Camacho, MD
• Channing Ferrer, LMSW
• David C. Firlit, LMSW
• Five Star Medical Services PLLC

• Dentist in Saline, MI
• Providers in Saline, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.