Individual provider Active NPI

Minjoo Kim Sanker, DDS, MS

  • Pediatric Dentistry
  • Ann Arbor, MI
National Provider Identifier
1184065997
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2901020946 Issued in MI
Practice address
2074 S Main St
Ann Arbor, MI 48103-5827
Phone
(734) 663-2490
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020946 MI
Pediatric Dentistry 1223P0221X 2901020946 MI Primary

Addresses

Primary practice location

2074 S Main St
Ann Arbor, MI 48103-5827

Mailing address

2000 Green Rd # 101
Ann Arbor, MI 48105-1598
Phone (734) 375-6882

Other identifiers 1

IdentifierTypeStateIssuer
1184065997MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901020946MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Pediatric Dentistry Pediatric Dentistry Current Accepting new patients
Royal Oak Surgical Center, LLC Past Accepting new patients
Raymond a Maturo DDS PC Pediatric Dentistry Past Accepting new patients
Ann Arbor Pediatric Dentistry PLLC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 4

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": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1184065997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GREEN RD # 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051598",
            "telephone_number": "734-375-6882"
        },
        {
            "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": "481035827",
            "telephone_number": "734-663-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKER",
        "first_name": "MINJOO",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020946",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901020946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184065997",
            "state": "MI"
        }
    ],
    "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 Sep 8, 2026; 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.