Individual provider Active NPI

Amanda Remer-Chang

  • Dentist
  • Northville, MI
National Provider Identifier
1699123141
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021842 Issued in MI
Practice address
201 E Main St Ste B
Northville, MI 48167-2679
Phone
(248) 417-2870
NPI assigned
May 25, 2016
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021842 MI Primary

Addresses

Primary practice location

201 E Main St Ste B
Northville, MI 48167-2679

Mailing address

201 E Main St Ste B
Northville, MI 48167-2679
Phone (248) 417-2870

Other practice location 1

37380 Glenwood Rd
Westland, MI 48186-5447
Phone (248) 417-2870

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
I20160728000242 MI Order and Referring Only - DentistPractitioner - Dentist 6608169651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021842MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Remer-Chang, DDS, PLLC Dentist CurrentSince Jan 3, 2021 Accepting new patients

Locations

201 E Main St
Ste B
Northville, MI 48167
Phone (248) 348-6780

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, 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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1699123141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MAIN ST STE B",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672679",
            "telephone_number": "248-417-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MAIN ST STE B",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672679",
            "telephone_number": "248-417-2870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37380 Glenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481865447",
            "country_code": "US",
            "telephone_number": "248-417-2870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMER-CHANG",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.