Individual provider Active NPI

Averil Elizabeth Mearnic, D.D.S., M.S.

  • Prosthodontics
  • Brighton, MI
National Provider Identifier
1700907490
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2901018916 Issued in MI
Practice address
225 E Grand River Ave
Suite 200
Brighton, MI 48116-1573
Phone
(810) 227-9600
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 2901018916 MI Primary

Addresses

Primary practice location

225 E Grand River Ave
Suite 200
Brighton, MI 48116-1573

Mailing address

225 E Grand River Ave
Suite 200
Brighton, MI 48116-1573
Phone (810) 227-9600

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
I20150605000131 MI Order and Referring Only - DentistPractitioner - Dentist 5890016604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901018916MIMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Averil E. Mearnic, D.D.S., M.S., PLC Past Accepting new patients

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1700907490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E GRAND RIVER AVE",
            "address_2": "SUITE 200",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161573",
            "telephone_number": "810-227-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E GRAND RIVER AVE",
            "address_2": "SUITE 200",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161573",
            "telephone_number": "810-227-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEARNIC",
        "first_name": "AVERIL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "2901018916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.