Organization Active NPI

Ank PC

  • Legal Medicine
  • Dearborn, MI
National Provider Identifier
1114051646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
4301060472 Issued in MI
Legal business name
ANK PC
Practice address
2012 Monroe St Ste 102
Dearborn, MI 48124-2938
Phone
(313) 565-3365
Fax
(313) 565-3440
NPI assigned
Mar 15, 2007
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
Mrs. Michelle R Sherry
Title
Office Manager
Phone
(313) 565-3365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 4301060472 MI Primary

Addresses

Primary practice location

2012 Monroe St Ste 102
Dearborn, MI 48124-2938

Mailing address

2012 Monroe St Ste 102
Dearborn, MI 48124-2938
Phone (313) 565-3365

Other identifiers 2

IdentifierTypeStateIssuer
0829528OtherMIBCBS PROVIDER NUMBER
4301060472OtherMISTATE ID

National Provider Directory

National Provider Directory

Locations

1633 Fairlane Cir
Ste 100
Allen Park, MI 48101
Phone (800) 757-7711

1650 N Telegraph Rd
Dearborn, MI 48128
Phone (313) 278-1140

24825 Michigan Ave
Dearborn, MI 48124
Phone (313) 565-3365

25180 Lahser Rd
Southfield, MI 48033
Phone (248) 262-2200

24445 Northwestern Hwy
Ste 144
Southfield, MI 48075
Phone (248) 356-6767

28588 Northwestern Hwy
Ste 400
Southfield, MI 48034
Phone (248) 948-1019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114051646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 MONROE ST STE 102",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242938",
            "telephone_number": "313-565-3365",
            "fax_number": "313-565-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 MONROE ST STE 102",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242938",
            "telephone_number": "313-565-3365",
            "fax_number": "313-565-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERRY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-565-3365",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301060472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0829528",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "4301060472",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, 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.