Active NPI
Paula Ann Marie Jewell, DDS
- Dentist
- Detroit, MI
National Provider Identifier
1104013218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17545
- Practice address
- 14254 Gratiot Ave
Detroit, MI 48205-2428 - Phone
- (313) 839-8888
- NPI assigned
- Oct 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17545 | MI | Primary |
Addresses
Primary practice location
14254 Gratiot Ave
Detroit, MI 48205-2428
Mailing address
33228 W 12 Mile Rd
Suite 289
Farmington Hills, MI 48334-3309
Phone (313) 598-7242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17545 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1104013218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33228 W 12 MILE RD",
"address_2": "SUITE 289",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343309",
"telephone_number": "313-598-7242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14254 GRATIOT AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482052428",
"telephone_number": "313-839-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL",
"first_name": "PAULA",
"middle_name": "ANN MARIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "17545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.