Tammy Ann Mika, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

018646 Issued in MI

Practice address

114 North Main Street
Perry, MI 48872-0619

Phone

(517) 625-4163

Fax

(517) 625-5049

NPI assigned

Jul 20, 2006

Last updated

Dec 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perry Dental P.L.C.

  • General Practice Dentistry
  • Perry, MI
  • NPI 1801852108
  NPD (past) Authorized official
• Mark E. Potocki DDS, PC

  • General Practice Dentistry
  • Perry, MI
  • NPI 1568428753
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1437179462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 619",
            "city": "PERRY",
            "state": "MI",
            "postal_code": "488720619",
            "telephone_number": "517-625-4163",
            "fax_number": "517-625-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 NORTH MAIN STREET",
            "city": "PERRY",
            "state": "MI",
            "postal_code": "488720619",
            "telephone_number": "517-625-4163",
            "fax_number": "517-625-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKA",
        "first_name": "TAMMY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "018646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A McCaughna
• Memorial Hospital (Memorial Healthcare)
• Michigan Autism Solutions LLC
• Mika Orthodontics
• David E Mika II, D.D.S., M.S.D.
• Lucinda L Molzan, CD(DONA)
• Cory Michael O'Brien, R.PH
• Robbie J Pairolero, O.D.
• Timothy Lee Parker, PHARMACIST
• Partners in Family Health Care PLC

• General Practice Dentistry in Perry, MI
• Providers in Perry, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.

Verify at the official NPI Registry.