Individual provider Active NPI

Jennifer Marie Shorez, D.D.S

  • General Practice Dentistry
  • Flushing, MI
National Provider Identifier
1740540434
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020680 Issued in MI
Practice address
6221 W. Pierson Rd.
Flushing, MI 48433
Phone
(810) 733-2700
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020680 MI Primary

Addresses

Primary practice location

6221 W. Pierson Rd.
Flushing, MI 48433

Mailing address

6221 W. Pierson Rd.
Flushing, MI 48433
Phone (810) 733-2700

Other names 1

  • Jennifer Marie Rosinski Former name

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
I20160309001091 MI Order and Referring Only - DentistPractitioner - Dentist 9830495308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Natalya a Brezden DDS PLLC PastSince Aug 23, 2020 Accepting new patients
David M. Shorez D.D.S., PLLC General Practice PastSince Aug 23, 2020 Accepting new patients

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1740540434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 W. PIERSON RD.",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "48433",
            "telephone_number": "810-733-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 W. PIERSON RD.",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "48433",
            "telephone_number": "810-733-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOREZ",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROSINSKI",
            "middle_name": "MARIE",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, MI

Sources for this page

Verify at the official NPI Registry.