Tracey Upell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901018763 Issued in MI

Practice address

1820 Whittaker Rd
Ypsilanti, MI 48197-9728

Phone

(734) 480-3600

Fax

(734) 480-3606

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tracey Smith Former name

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lifetime Dental Care of Michigan, P.C.

  • Dentist
  • Ypsilanti, MI
  • NPI 1568515278
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1265587919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979728",
            "telephone_number": "734-480-3600",
            "fax_number": "734-480-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979728",
            "telephone_number": "734-480-3600",
            "fax_number": "734-480-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPELL",
        "first_name": "TRACEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "SMITH",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Union Wellness PLLC
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• Universal Imaging Inc
• University Neurosurgical Associates, PC
• Unstoppable Homecare Services LLC
• Paven Uppal, DO
• Lisa Upshur, CNP
• Catherine Ann Upton, M.D.
• Charlotte Marie Urban, MD
• Selcuk Uremek, DO

• Dentist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.