Organization Active NPI

Michigan Dental Center PC

Doing business as Arbor West Dental

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1376650101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16549 Issued in MI
Legal business name
MICHIGAN DENTAL CENTER PC
Doing business as
Arbor West Dental
Practice address
6276 Jackson Road
Ste a
Ann Arbor, MI 48103
Phone
(734) 222-3636
Fax
(734) 222-5454
NPI assigned
Aug 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paresh V Shrimankar, DDS
Title
President
Phone
(734) 222-3636

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 17664 MI
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 18228 MI
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 16549 MI Primary

Addresses

Primary practice location

6276 Jackson Road
Ste a
Ann Arbor, MI 48103

Mailing address

6276 Jackson Road
Ste a
Ann Arbor, MI 48103
Phone (734) 222-3636

Other names 1

  • Arbor West Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6276 Jackson Rd
Ste A
Ann Arbor, MI 48103
Phone (734) 222-3636

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376650101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 JACKSON ROAD",
            "address_2": "STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-222-3636",
            "fax_number": "734-222-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 JACKSON ROAD",
            "address_2": "STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-222-3636",
            "fax_number": "734-222-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHRIMANKAR",
        "authorized_official_first_name": "PARESH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-222-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "17664",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "18228",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "16549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor West Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.