Active NPI
Ann Arbor Periodontics
- Periodontics
- Ann Arbor, MI
National Provider Identifier
1699309500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- ANN ARBOR PERIODONTICS
- Practice address
- 2715 Packard St Ste C
Ann Arbor, MI 48108-3365 - Phone
- (734) 822-2200
- NPI assigned
- Feb 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Meraw, DDS
- Title
- Owner
- Phone
- (734) 822-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | Primary |
Addresses
Primary practice location
2715 Packard St Ste C
Ann Arbor, MI 48108-3365
Mailing address
2715 Packard St Ste C
Ann Arbor, MI 48108-3365
National Provider Directory
National Provider DirectoryLocations
2715 Packard St
Ste C
Ann Arbor, MI 48108
Phone (734) 822-2200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Ann Arbor, MI
- NPI 1629177613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582934400000",
"number": "1699309500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 PACKARD ST STE C",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481083365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 PACKARD ST STE C",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481083365",
"telephone_number": "734-822-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANN ARBOR PERIODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-29",
"last_updated": "2020-02-29",
"certification_date": "2020-02-29",
"status": "A",
"authorized_official_last_name": "MERAW",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-822-2200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"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 Feb 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.