Active NPI
Cari Michele Zupko, DDS MS
- Pediatric Dentistry
- Berkley, MI
National Provider Identifier
1326154543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 15847
- Practice address
- 2355 Coolidge
Berkley, MI 48072-1550 - Phone
- (248) 547-6080
- Fax
- (248) 547-6082
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 15847 | MI | Primary |
Addresses
Primary practice location
2355 Coolidge
Berkley, MI 48072-1550
Mailing address
2355 Coolidge Hwy
Berkley, MI 48072-1550
Phone (248) 547-6080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3276317 | Medicaid | MI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15847 | MI | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1326154543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 COOLIDGE HWY",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721550",
"telephone_number": "248-547-6080",
"fax_number": "248-547-6082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 COOLIDGE",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721550",
"telephone_number": "248-547-6080",
"fax_number": "248-547-6082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUPKO",
"first_name": "CARI",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MI",
"license": "15847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3276317",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.