Organization Active NPI

DCP of Michigan (Summit Place) PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waterford, MI
National Provider Identifier
1558332841
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DCP OF MICHIGAN (SUMMIT PLACE) PC
Practice address
435 N Telegraph Rd
Waterford, MI 48328-3332
Phone
(248) 683-9811
Fax
(248) 683-9815
NPI assigned
Jan 27, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Ed Meckler, D.D.S.
Title
Chairman of the Board
Phone
(800) 487-4867

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
Endodontics 1223E0200X
General Practice Dentistry 1223G0001X
Pediatric Dentistry 1223P0221X
Periodontics 1223P0300X
Prosthodontics 1223P0700X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

435 N Telegraph Rd
Waterford, MI 48328-3332

Mailing address

5875 Landerbrook Dr
Ste 250
Mayfield Heights, OH 44124-6511

National Provider Directory

National Provider Directory

Locations

435 N Telegraph Rd
Waterford, MI 48328
Phone (248) 681-1301

5875 Landerbrook Dr
Ste 250
Mayfield Hts, OH 44124

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1558332841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 LANDERBROOK DR",
            "address_2": "STE 250",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N TELEGRAPH RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283332",
            "telephone_number": "248-683-9811",
            "fax_number": "248-683-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCP OF MICHIGAN (SUMMIT PLACE) PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MECKLER",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "800-487-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.