Active NPI
Julius Edwin Bunek II, D.D.S.
- Periodontics
- Ann Arbor, MI
National Provider Identifier
1154659381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 2901020091
- Practice address
- 2715 Packard St
Ann Arbor, MI 48108-3336 - Phone
- (734) 822-2200
- Fax
- (734) 822-2203
- NPI assigned
- Nov 30, 2009
- Last updated
- Nov 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 2901020091 | MI | Primary |
Addresses
Primary practice location
2715 Packard St
Ann Arbor, MI 48108-3336
Mailing address
4806 Lohr Rd
Ann Arbor, MI 48108-5910
Phone (734) 678-4029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020091 | MI | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1154659381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4806 LOHR RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481085910",
"telephone_number": "734-678-4029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 PACKARD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481083336",
"telephone_number": "734-822-2200",
"fax_number": "734-822-2203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNEK",
"first_name": "JULIUS",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-30",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MI",
"license": "2901020091",
"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 Nov 30, 2009; 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.