NPIMap

Organization Active NPI

Norbert E. Fernandez, DDS, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Ann Arbor, MI
National Provider Identifier
1245509710
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901018321 Issued in MI
Legal business name
NORBERT E. FERNANDEZ, DDS, PC
Practice address
203 S Zeeb Rd
Suite 101
Ann Arbor, MI 48103-8326
Phone
(734) 994-1040
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Nichole Layne
Title
Office Manager
Phone
(734) 994-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 2901018321 MI Primary

Addresses

Primary practice location

203 S Zeeb Rd
Suite 101
Ann Arbor, MI 48103-8326

Mailing address

203 S Zeeb Rd
Suite 101
Ann Arbor, MI 48103-8326
Phone (734) 994-1040

National Provider Directory

National Provider Directory

Locations

203 S Zeeb Rd
Ste 101
Ann Arbor, MI 48103
Phone (734) 994-1040

Practitioners & affiliated clinicians

Practitioners 2

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": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1245509710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ZEEB RD",
            "address_2": "SUITE 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038326",
            "telephone_number": "734-994-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S ZEEB RD",
            "address_2": "SUITE 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038326",
            "telephone_number": "734-994-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORBERT E. FERNANDEZ, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "LAYNE",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-994-1040"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901018321",
            "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 Dec 29, 2011; 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.