Individual provider Active NPI

Julius Edwin Bunek II, D.D.S.

  • Periodontics
  • Ann Arbor, MI
National Provider Identifier
1154659381
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901020091 Issued in MI
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020091MIMDPeriodontist

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

Verify at the official NPI Registry.