Individual provider Active NPI

Jeffrey A Sekerak, D.D.S.

  • General Practice Dentistry
  • Allen Park, MI
National Provider Identifier
1114050085
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14744 Issued in MI
Practice address
10501 Allen Rd
Ste 105
Allen Park, MI 48101-1281
Phone
(313) 383-3000
Fax
(313) 383-1631
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14744 MI Primary

Addresses

Primary practice location

10501 Allen Rd
Ste 105
Allen Park, MI 48101-1281

Mailing address

15090 Englewood Ave
Allen Park, MI 48101-1628
Phone (313) 383-6174

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
I20160119000939 MI Order and Referring Only - DentistPractitioner - Dentist 9638472020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14744MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
H2G Dental PLLC General Practice PastSince Jan 2, 2022 Accepting new patients
Family Dentistry, PC Past Accepting new patients

Organizations & group practices 2

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114050085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15090 ENGLEWOOD AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011628",
            "telephone_number": "313-383-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 ALLEN RD",
            "address_2": "STE 105",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011281",
            "telephone_number": "313-383-3000",
            "fax_number": "313-383-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKERAK",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

Verify at the official NPI Registry.