Individual provider Active NPI

Karen D Kerry, DDS

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1407014418
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14099 Issued in MI
Practice address
3250 Plymouth Road
104
Ann Arbor, MI 48105-2555
Phone
(734) 995-0515
Fax
(734) 995-1299
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14099 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

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

State licenses

LicenseStateTypeSpecialty
14099MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gloria James Kerry, D.D.S., M.S. CurrentSince Nov 6, 2022 Accepting new patients

Locations

3250 Plymouth Rd
Ste 104
Ann Arbor, MI 48105
Phone (734) 546-4566

Organizations & group practices 1

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1407014418",
    "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": "KAREN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14099",
            "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 May 27, 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.