Organization Active NPI

University of Detroit Mercy

  • Health Maintenance Organization
  • Royal Oak, MI
National Provider Identifier
1376095273
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
UNIVERSITY OF DETROIT MERCY
Practice address
2440 Parmenter Blvd Apt 201
Royal Oak, MI 48073-1339
Phone
(415) 754-0606
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Dr. Richard Kulbersh
Title
Department of Orthodontics Chair
Phone
(313) 494-6731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

2440 Parmenter Blvd Apt 201
Royal Oak, MI 48073-1339

Mailing address

2440 Parmenter Blvd Apt 201
Royal Oak, MI 48073-1339

National Provider Directory

National Provider Directory
Tax ID family
Jasmine Rivera72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1376095273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 PARMENTER BLVD APT 201",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 PARMENTER BLVD APT 201",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731339",
            "telephone_number": "415-754-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF DETROIT MERCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "KULBERSH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DEPARTMENT OF ORTHODONTICS CHAIR",
        "authorized_official_telephone_number": "313-494-6731",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.