Individual provider Active NPI

Michal Morag Hezroni, DDS

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1285837013
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019156 Issued in MI
Practice address
1500 E Medical Center Dr
TC Bi 304
Ann Arbor, MI 48109-0018
Phone
(734) 764-1542
Fax
(734) 615-1415
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 2901019156 MI
Dentist 122300000X 2901019156 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
TC Bi 304
Ann Arbor, MI 48109-0018

Mailing address

1500 E Medical Center Dr
TC Bi 304
Ann Arbor, MI 48109-0018
Phone (734) 764-1542

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
2901019156MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285837013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "TC BI 304",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090018",
            "telephone_number": "734-764-1542",
            "fax_number": "734-615-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "TC BI 304",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090018",
            "telephone_number": "734-764-1542",
            "fax_number": "734-615-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEZRONI",
        "first_name": "MICHAL",
        "middle_name": "MORAG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019156",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019156",
            "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 Sep 11, 2025; 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.