NPIMap

Organization Active NPI

Embree Dentistry

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1760888036
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15028 Issued in MI
Legal business name
EMBREE DENTISTRY
Practice address
2340 E Stadium Blvd
Suite 7
Ann Arbor, MI 48104-4823
Phone
(734) 973-0000
NPI assigned
Nov 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Jill Coffman
Title
Office Manager
Phone
(734) 973-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15028 MI Primary

Addresses

Primary practice location

2340 E Stadium Blvd
Suite 7
Ann Arbor, MI 48104-4823

Mailing address

2340 E Stadium Blvd
Suite 7
Ann Arbor, MI 48104-4823
Phone (734) 973-0000

National Provider Directory

National Provider Directory

Locations

2340 E Stadium Blvd
Ste 7
Ann Arbor, MI 48104
Phone (734) 973-0000

Practitioners & affiliated clinicians

Practitioners 2

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": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1760888036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E STADIUM BLVD",
            "address_2": "SUITE 7",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044823",
            "telephone_number": "734-973-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E STADIUM BLVD",
            "address_2": "SUITE 7",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044823",
            "telephone_number": "734-973-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBREE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-973-0000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15028",
            "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 Nov 13, 2014; 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.