NPIMap

Organization Active NPI

Ann Arbor Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Ann Arbor, MI
National Provider Identifier
1114300811
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ANN ARBOR PEDIATRIC DENTISTRY PLLC
Practice address
2074 S Main St
Ann Arbor, MI 48103-6962
Phone
(734) 663-2490
Fax
(734) 663-5137
NPI assigned
Jun 30, 2015
Last updated
Jun 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Dr. Aimee Joan Picard, DDS, MS
Title
Dentist
Phone
(734) 663-2490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

2074 S Main St
Ann Arbor, MI 48103-6962

Mailing address

2074 S Main St
Ann Arbor, MI 48103-6962
Phone (734) 663-2490

National Provider Directory

National Provider Directory

Locations

2074 S Main St
Ann Arbor, MI 48103
Phone (734) 663-2490

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1114300811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036962",
            "telephone_number": "734-663-2490",
            "fax_number": "734-663-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036962",
            "telephone_number": "734-663-2490",
            "fax_number": "734-663-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "PICARD",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-663-2490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.