Individual provider Active NPI

Suat Gurkan, DDS

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1508943010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
016141 Issued in MI
Practice address
2230 S Huron Pkwy
Ann Arbor, MI 48104-5151
Phone
(734) 973-7560
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 016141 MI Primary

Addresses

Primary practice location

2230 S Huron Pkwy
Ann Arbor, MI 48104-5151

Mailing address

2230 S Huron Pkwy
Ann Arbor, MI 48104-5151
Phone (734) 973-7560

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
I20200228001357 MI Practitioner - Dentist 5991132102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016141MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Treasurer-Payroll County of Wayne CurrentSince Jan 4, 2020 Accepting new patients
Wayne County Treasurer Payroll-County of Wayne CurrentSince Jan 4, 2020 Accepting new patients

Locations

9021 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 871-1926

33030 Van Born Rd
Wayne, MI 48184
Phone (734) 727-7101

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508943010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045151",
            "telephone_number": "734-973-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045151",
            "telephone_number": "734-973-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURKAN",
        "first_name": "SUAT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "016141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.