Active NPI
Hyun Seok Sheen, DDS
- Dentist
- Ann Arbor, MI
National Provider Identifier
1346599412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901021749
- Practice address
- 2755 Carpenter Rd Ste 1NE
Ann Arbor, MI 48108-1171 - Phone
- (734) 971-2980
- Fax
- (734) 971-2680
- NPI assigned
- Sep 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901021749 | MI | Primary |
Addresses
Primary practice location
2755 Carpenter Rd Ste 1NE
Ann Arbor, MI 48108-1171
Mailing address
2755 Carpenter Rd Ste 1NE
Ann Arbor, MI 48108-1171
Phone (734) 971-2980
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160217000583 | MI | Order and Referring Only - Dentist | 4981909751 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyun Sheen DDS, PLLC | Dentist | Current | Accepting new patients |
| Robin C Ballard DDS PC | Dentist | Past | Accepting new patients |
| Ann Arbor Family Dentistry, PC | Dentist | Past | Accepting new patients |
Locations
2755 Carpenter Rd
Ste 1NE
Ann Arbor, MI 48108
Phone (734) 971-2980
Organizations & group practices 3
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.
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- Dentist
- Montrose, MI
- NPI 1548397904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1346599412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2755 CARPENTER RD STE 1NE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081171",
"telephone_number": "734-971-2980",
"fax_number": "734-971-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 CARPENTER RD STE 1NE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081171",
"telephone_number": "734-971-2980",
"fax_number": "734-971-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEN",
"first_name": "HYUN",
"middle_name": "SEOK",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901021749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.