Paresh Shrimankar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17664 Issued in MI

Practice address

2613 Plymouth Rd
Ann Arbor, MI 48105-2468

Phone

(734) 821-7676

Fax

(734) 821-7689

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Locations

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.

• Abc Dental PC

  • Dentist
  • Ann Arbor, MI
  • NPI 1790021442
  NPD (past) Authorized official
• Enhance Dental

  • Dental Clinic/Center
  • Ann Arbor, MI
  • NPI 1174132930
  NPD
• Plymouth Ardent

  • Dental Clinic/Center
  • Plymouth, MI
  • NPI 1326670886
  NPD

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1508985318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WEST EISENHOWER PARKWAY",
            "address_2": "SUITE 310",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-996-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 PLYMOUTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052468",
            "telephone_number": "734-821-7676",
            "fax_number": "734-821-7689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 West Eisenhower Parkway",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "48103",
            "country_code": "US",
            "telephone_number": "734-996-9966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRIMANKAR",
        "first_name": "PARESH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "200102645",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI NUMBER",
            "identifier": "1558463661",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Shoup, ACSW
• John P Shovels, MSW
• Alexis Showalter
• Christine Shrewsbury, CRNA
• Rebecca Faith Shriberg, MSW
• Sandra Menezes Shrimankar, D.D.S.
• Nikhita Shrimanker, MD
• Jackson Shriver
• Joss Linsey Shrout, NP
• Roni Mintz Shtein, MD

• General Practice Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, 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 Aug 3, 2020; 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.