Individual provider Active NPI

Ju-Hee Ma, D.D.S

  • Dentist
  • Canton, MI
National Provider Identifier
1316386071
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020950 Issued in MI
Practice address
5958 N Canton Center Rd
Suite 400
Canton, MI 48187-2765
Phone
(734) 451-9570
Fax
(734) 451-5963
NPI assigned
Jun 17, 2013
Last updated
Jun 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020950 MI Primary

Addresses

Primary practice location

5958 N Canton Center Rd
Suite 400
Canton, MI 48187-2765

Mailing address

5958 N Canton Center Rd
Suite 400
Canton, MI 48187-2765
Phone (734) 451-9570

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
I20151217002182 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7618278581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020950MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Family Dental PLLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1316386071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 N CANTON CENTER RD",
            "address_2": "SUITE 400",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872765",
            "telephone_number": "734-451-9570",
            "fax_number": "734-451-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 N CANTON CENTER RD",
            "address_2": "SUITE 400",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872765",
            "telephone_number": "734-451-9570",
            "fax_number": "734-451-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "JU-HEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.