NPIMap

Organization Active NPI

Arbor Area Endodontics PC

  • Endodontics
  • Ann Arbor, MI
National Provider Identifier
1578736468
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
800745 Issued in MI
Legal business name
ARBOR AREA ENDODONTICS PC
Practice address
2330 E Stadium Blvd
Suite #1
Ann Arbor, MI 48104-4820
Phone
(734) 973-2727
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Dr. Wesley Ichesco, D.D.S.NPI 1710041082
Title
Owner
Phone
(734) 973-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 800745 MI Primary

Addresses

Primary practice location

2330 E Stadium Blvd
Suite #1
Ann Arbor, MI 48104-4820

Mailing address

2330 E Stadium Blvd
Suite #1
Ann Arbor, MI 48104-4820
Phone (734) 973-2727

National Provider Directory

National Provider Directory

Locations

2330 E Stadium Blvd
Ste 1
Ann Arbor, MI 48104
Phone (734) 973-2727

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1578736468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 E STADIUM BLVD",
            "address_2": "SUITE #1",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044820",
            "telephone_number": "734-973-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E STADIUM BLVD",
            "address_2": "SUITE #1",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044820",
            "telephone_number": "734-973-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR AREA ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "ICHESCO",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-973-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "800745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.