Individual provider Active NPI

Hyun Seok Sheen, DDS

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1346599412
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021749 Issued in MI
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

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160217000583 MI Order and Referring Only - DentistPractitioner - Dentist 4981909751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hyun Sheen DDS, PLLC Dentist CurrentSince Aug 2, 2020 Accepting new patients
Robin C Ballard DDS PC Dentist Past Accepting new patients
Ann Arbor Family Dentistry, PC Dentist PastSince Aug 2, 2020 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.

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

Verify at the official NPI Registry.