Individual provider Active NPI

Andrea Beth Monkman, DDS

  • General Practice Dentistry
  • Madison Heights, MI
National Provider Identifier
1619197738
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019354 Issued in MI
Practice address
30233 Dequindre Rd
Madison Heights, MI 48071-2283
Phone
(248) 588-2930
Fax
(248) 588-2934
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901019354 MI Primary

Addresses

Primary practice location

30233 Dequindre Rd
Madison Heights, MI 48071-2283

Mailing address

30233 Dequindre Rd
Madison Heights, MI 48071-2283
Phone (248) 588-2930

Other names 1

  • Dr. Andrea Beth Janower Former name

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
I20150512001360 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1759600802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Janower and Monkman Dentistry General Practice CurrentSince Aug 9, 2020 Accepting new patients

Locations

30233 Dequindre Rd
Madison Heights, MI 48071
Phone (248) 588-2930

Organizations & group practices 1

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": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1619197738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30233 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712283",
            "telephone_number": "248-588-2930",
            "fax_number": "248-588-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30233 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712283",
            "telephone_number": "248-588-2930",
            "fax_number": "248-588-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONKMAN",
        "first_name": "ANDREA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "JANOWER",
            "middle_name": "BETH",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.