Individual provider Active NPI

Regina Mackiewicz Dailey, D.M.D

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1467539163
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14495 Issued in MI
Practice address
221 N Ingalls St
Ann Arbor, MI 48104-1511
Phone
(734) 996-0055
Fax
(734) 996-5934
NPI assigned
Nov 1, 2006
Last updated
Jan 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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 14495 MI Primary

Addresses

Primary practice location

221 N Ingalls St
Ann Arbor, MI 48104-1511

Mailing address

221 N Ingalls St
Ann Arbor, MI 48104-1511
Phone (734) 996-0055

Other names 1

  • Regina Dailey Other name

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
I20170124000572 MI Practitioner - Oral Surgery 7810278561 Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14495MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1467539163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N INGALLS ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041511",
            "telephone_number": "734-996-0055",
            "fax_number": "734-996-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N INGALLS ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041511",
            "telephone_number": "734-996-0055",
            "fax_number": "734-996-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIEWICZ DAILEY",
        "first_name": "REGINA",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "DAILEY",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.