Individual provider Active NPI

Kamani Meriwether, DMD

  • General Practice Dentistry
  • Troy, MI
National Provider Identifier
1699261305
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901022754 Issued in MI
Practice address
6535 Rochester Rd
Troy, MI 48085-1362
Phone
(248) 879-5557
NPI assigned
Jul 5, 2018
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12013506A IN
Public Health Dentistry 1223D0001X 2901022754 MI
General Practice Dentistry 1223G0001X 2901022754 MI Primary

Addresses

Primary practice location

6535 Rochester Rd
Troy, MI 48085-1362

Mailing address

6535 Rochester Rd
Troy, MI 48085-1362

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
I20180824000934 MI Practitioner - Oral Surgery 3971852963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12013506AINMDDentist
2901022754MIMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Intercare Community Health Network CurrentSince Aug 1, 2018 Accepting new patients
Intercare Community Health Network CurrentSince Aug 1, 2018 Accepting new patients
Maple City Health Care Center, Inc PastSince Jan 1, 2021 Accepting new patients

Locations

50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937

800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400

Interoperability endpoints

  • Direct secure messaging: kmeriwether326354@direct.ochin.org

Organizations & group practices 3

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1699261305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851362",
            "telephone_number": "248-879-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIWETHER",
        "first_name": "KAMANI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013506A",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "2901022754",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.