Individual provider Active NPI

Sheri Diane Calleja, D.D.S.

  • General Practice Dentistry
  • Commerce Township, MI
National Provider Identifier
1306868500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015865 Issued in MI
Practice address
2420 Union Lake Rd
Commerce Township, MI 48382-3551
Phone
(248) 363-3100
Fax
(248) 366-8735
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901015865 MI Primary

Addresses

Primary practice location

2420 Union Lake Rd
Commerce Township, MI 48382-3551

Mailing address

2420 Union Lake Rd
Commerce Township, MI 48382-3551
Phone (248) 363-3100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160324000131 MI Order and Referring Only - DentistPractitioner - Dentist 5991763153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commerce Family Dentistry,P.C. General Practice 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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306868500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 UNION LAKE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823551",
            "telephone_number": "248-363-3100",
            "fax_number": "248-366-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 UNION LAKE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823551",
            "telephone_number": "248-363-3100",
            "fax_number": "248-366-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEJA",
        "first_name": "SHERI",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

Verify at the official NPI Registry.