Individual provider Active NPI

Julie A Kerry, DDS MS

  • Periodontics
  • Ann Arbor, MI
National Provider Identifier
1336308196
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
014135 Issued in MI
Practice address
3250 Plymouth Road
#104
Ann Arbor, MI 48105-2555
Phone
(734) 995-0515
Fax
(734) 995-1299
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 014135 MI Primary

Addresses

Primary practice location

3250 Plymouth Road
#104
Ann Arbor, MI 48105-2555

Mailing address

3250 Plymouth Road
#104
Ann Arbor, MI 48105-2555
Phone (734) 995-0515

Other names 1

  • Julie K Schmidt Former name

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

LicenseStateTypeSpecialty
014135MIMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Periodontics Periodontics Current Accepting new patients
Gloria James Kerry, D.D.S., M.S. PastSince Nov 6, 2022 Accepting new patients

Organizations & group practices 2

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1336308196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 PLYMOUTH ROAD",
            "address_2": "#104",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052555",
            "telephone_number": "734-995-0515",
            "fax_number": "734-995-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 PLYMOUTH ROAD",
            "address_2": "#104",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052555",
            "telephone_number": "734-995-0515",
            "fax_number": "734-995-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERRY",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "014135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SCHMIDT",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.