Organization Active NPI

Silberg-Waterworks PC

  • Orthopaedic Surgery Physician
  • Dearborn, MI
National Provider Identifier
1295992733
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301061836 Issued in MI
Legal business name
SILBERG-WATERWORKS PC
Practice address
21031 Michigan Ave
Suite 200
Dearborn, MI 48124-2339
Phone
(313) 277-6700
NPI assigned
May 21, 2008
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Tricia Adamen
Title
Office Manager
Phone
(313) 277-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301061836 MI Primary

Addresses

Primary practice location

21031 Michigan Ave
Suite 200
Dearborn, MI 48124-2339

Mailing address

21031 Michigan Ave
Suite 200
Dearborn, MI 48124-2339
Phone (313) 277-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080701000591 MI Part B Supplier - Clinic/Group Practice 4486726775 Receives reassigned benefits from 6 practitioners
Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

21031 Michigan Ave
#2
Dearborn, MI 48124

21031 Michigan Ave
Fl 2
Dearborn, MI 48124
Phone (313) 216-0332

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1295992733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21031 MICHIGAN AVE",
            "address_2": "SUITE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242339",
            "telephone_number": "313-277-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21031 MICHIGAN AVE",
            "address_2": "SUITE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242339",
            "telephone_number": "313-277-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILBERG-WATERWORKS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "ADAMEN",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-277-6700"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301061836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.