Kelly Megan Macarthur, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021161 Issued in MI

Practice address

2444 Packard Rd
Ypsilanti, MI 48197-1822

Phone

(734) 572-4428

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Packard Family Dentistry, PC

  • Dental Clinic/Center
  • Ypsilanti, MI
  • NPI 1811680606
  NPD (past)
• 34TH Street Dental Care

  • General Practice Dentistry
  • Berwyn, IL
  • NPI 1124358551
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1306925318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 CARLISLE CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039494",
            "telephone_number": "734-657-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 PACKARD RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971822",
            "telephone_number": "734-572-4428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6411 West 34th St",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "60402",
            "country_code": "US",
            "telephone_number": "708-484-6576",
            "fax_number": "708-484-0843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACARTHUR",
        "first_name": "KELLY",
        "middle_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-026376",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M & M Mind and Body Therapy
• M. J. Kim, Inc
• Marilyn Maa
• Sukhminder Singh Maan, MD
• Lynn Rebekah Maas, CCC-SLP
• Philip Stafford Romine Macbride, PA-C
• Knox Simba Machamire
• Rachel Therese Mack, NP
• Stacey Michelle Mack, MSW
• Stephanie M Mackenzie, DO

• General Practice Dentistry in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.