Individual provider Active NPI

Anne B Bibik, DDS

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1538293113
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015511 Issued in MI
Practice address
406 N Ashley St
Ann Arbor, MI 48103-3308
Phone
(734) 998-9640
Fax
(734) 998-9647
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901015511 MI
General Practice Dentistry 1223G0001X 2901015511 MI Primary

Addresses

Primary practice location

406 N Ashley St
Ann Arbor, MI 48103-3308

Mailing address

406 N Ashley St
Ann Arbor, MI 48103-3308
Phone (734) 998-9640

Other identifiers 2

IdentifierTypeStateIssuer
D155110OtherMIBCBS OF MI DENTAL
4123994MedicaidMI

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
I20150623002364 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0941511513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901015511MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Mi Community Dental Center Dentist Past Accepting new patients
Regents of the University of Michigan Dental Faculty Associates Dentist PastSince Jul 1, 2017 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1538293113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N ASHLEY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033308",
            "telephone_number": "734-998-9640",
            "fax_number": "734-998-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N ASHLEY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033308",
            "telephone_number": "734-998-9640",
            "fax_number": "734-998-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBIK",
        "first_name": "ANNE",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015511",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI DENTAL",
            "identifier": "D155110",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4123994",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.