Individual provider Active NPI

James Francis Sarcheck, DDS

  • Dentist
  • Detroit, MI
National Provider Identifier
1780761668
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
009861 Issued in MI
Practice address
11532 Morang Dr
Detroit, MI 48224
Phone
(313) 371-4510
Fax
(313) 371-2333
NPI assigned
Oct 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 009861 MI Primary

Addresses

Primary practice location

11532 Morang Dr
Detroit, MI 48224

Mailing address

764 Shelden Rd
Grosse Pointe Shores, MI 48236
Phone (313) 917-4514

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
I20160115001646 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1355644865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009861MIMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780761668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 SHELDEN RD",
            "city": "GROSSE POINTE SHORES",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-917-4514",
            "fax_number": "248-594-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11532 MORANG DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48224",
            "telephone_number": "313-371-4510",
            "fax_number": "313-371-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARCHECK",
        "first_name": "JAMES",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "009861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.