Individual provider Active NPI

Merrill Lenore Perlow, DDS

  • General Practice Dentistry
  • Detroit, MI
National Provider Identifier
1245574854
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020619 Issued in MI
Practice address
2217 Springwells St
Detroit, MI 48209-1509
Phone
(313) 554-8900
NPI assigned
Nov 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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 2901020619 MI Primary
Dentist 122300000X 019.029364 IL

Addresses

Primary practice location

2217 Springwells St
Detroit, MI 48209-1509

Mailing address

2217 Springwells St
Detroit, MI 48209-1509
Phone (313) 554-8900

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

State licenses

LicenseStateTypeSpecialty
019.029364ILMDDentist
2901020619MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bashar E. Sedki, DDS, P.C. Past Accepting new patients

Organizations & group practices 1

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": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1245574854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 SPRINGWELLS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091509",
            "telephone_number": "313-554-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 SPRINGWELLS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091509",
            "telephone_number": "313-554-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLOW",
        "first_name": "MERRILL",
        "middle_name": "LENORE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020619",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.