Organization Active NPI

Ann Arbor Periodontics

  • Periodontics
  • Ann Arbor, MI
National Provider Identifier
1699309500
Registry record updated Feb 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
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

Updated by the provider on Feb 29, 2020

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)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.