Organization Active NPI

Michigan Dental Associates - Adrian PC

  • General Practice Dentistry
  • Adrian, MI
National Provider Identifier
1326569260
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901013819 Issued in MI
Legal business name
MICHIGAN DENTAL ASSOCIATES - ADRIAN PC
Practice address
160 N Winter St
Adrian, MI 49221-2093
Phone
(734) 234-6066
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Authorized official

Name
Martha J Harp
Title
Director of Insurance Operations
Phone
(678) 372-7358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901013819 MI Primary

Addresses

Primary practice location

160 N Winter St
Adrian, MI 49221-2093

Mailing address

999 Peachtree St NE Ste 800
Atlanta, GA 30309-4425
Phone (404) 537-5211

Other names 1

  • Painless Dentistry V LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1326569260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 PEACHTREE ST NE STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094425",
            "telephone_number": "404-537-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N WINTER ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212093",
            "telephone_number": "734-234-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN DENTAL ASSOCIATES - ADRIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "HARP",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE OPERATIONS",
        "authorized_official_telephone_number": "678-372-7358"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Painless Dentistry V LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Painless Dentistry V LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.