Organization Active NPI

Joseph Pelerin, DDS

Doing business as Meadowbrook Dental

  • Dental Clinic/Center
  • Auburn Hills, MI
National Provider Identifier
1225646672
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOSEPH PELERIN, DDS
Doing business as
Meadowbrook Dental
Practice address
3421 Five Points Dr
Auburn Hills, MI 48326-2341
Phone
(248) 373-0400
Fax
(248) 373-5909
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Margie Mary Gierula
Title
Office Administrator
Phone
(248) 373-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3421 Five Points Dr
Auburn Hills, MI 48326-2341

Mailing address

3421 Five Points Dr
Auburn Hills, MI 48326-2341
Phone (248) 373-0400

Other identifiers 1

IdentifierTypeStateIssuer
1659452951OtherMIINSURANCE CARRIERS

Other names 1

  • Meadowbrook Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@meadowbrookdental.com Direct

National Provider Directory

National Provider Directory

Locations

3421 Five Points Dr
Auburn Hills, MI 48326
Phone (248) 373-0400

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": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1225646672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 FIVE POINTS DR",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262341",
            "telephone_number": "248-373-0400",
            "fax_number": "248-373-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 FIVE POINTS DR",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262341",
            "telephone_number": "248-373-0400",
            "fax_number": "248-373-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH PELERIN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "GIERULA",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "248-373-0400"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE CARRIERS",
            "identifier": "1659452951",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@meadowbrookdental.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3421 Five Points Dr",
            "city": "Auburn Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483262341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Meadowbrook Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.