Individual provider Active NPI

Joseph James Pelerin, D.D.S.

  • General Practice Dentistry
  • Auburn Hills, MI
National Provider Identifier
1659452951
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10590 Issued in MI
Practice address
3421 Five Points Dr
Auburn Hills, MI 48326-2341
Phone
(248) 373-0400
Fax
(248) 373-5909
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 10590 MI Primary

Addresses

Primary practice location

3421 Five Points Dr
Auburn Hills, MI 48326-2341

Mailing address

3421 Five Points Dr
Auburn Hills, MI 48326-2341
Phone (248) 373-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10590MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Pelerin, DDS CurrentSince Aug 2, 2020 Accepting new patients

Locations

3421 Five Points Dr
Auburn Hills, MI 48326
Phone (248) 373-0400

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659452951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 FIVE POINTS DR",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262341",
            "telephone_number": "248-373-0400",
            "fax_number": "248-373-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 FIVE POINTS DR",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262341",
            "telephone_number": "248-373-0400",
            "fax_number": "248-373-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELERIN",
        "first_name": "JOSEPH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "10590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.