Individual provider Active NPI

Alexandra Michelle Peri, DDS

  • Dentist
  • Bloomfield Hills, MI
National Provider Identifier
1720425903
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020927 Issued in MI
Practice address
44004 Woodward Avenue
Suite 200
Bloomfield Hills, MI 48302-5032
Phone
(248) 334-3888
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020927 MI Primary

Addresses

Primary practice location

44004 Woodward Avenue
Suite 200
Bloomfield Hills, MI 48302-5032

Mailing address

31182 Claymore Rd
Farmington Hills, MI 48331-1408
Phone (248) 310-4221

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
I20160201002101 MI Order and Referring Only - DentistPractitioner - Dentist 8820392574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020927MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Peri D.D.S. PLLC CurrentSince Mar 1, 2020 Accepting new patients
Amp Sleep PLLC Dentist CurrentSince Jan 14, 2019 Accepting new patients

Locations

44004 Woodward Ave
Ste 200
Bloomfield Hills, MI 48302
Phone (248) 334-3888

Organizations & group practices 2

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": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1720425903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31182 CLAYMORE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311408",
            "telephone_number": "248-310-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44004 WOODWARD AVENUE",
            "address_2": "SUITE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025032",
            "telephone_number": "248-334-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERI",
        "first_name": "ALEXANDRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.