Individual provider Active NPI

Jeremy Schell, D.D.S.

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1801200860
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021232 Issued in MI
Practice address
2215 Fuller Rd SPC 9923
Vamc Dental Service (160)
Ann Arbor, MI 48105-2303
Phone
(734) 845-3528
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021232 MI Primary

Addresses

Primary practice location

2215 Fuller Rd SPC 9923
Vamc Dental Service (160)
Ann Arbor, MI 48105-2303

Mailing address

3250 Central Blvd
Vamc Dental Service (160)
Hudsonville, MI 49426-1439
Phone (616) 669-6600

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
I20160726001911 MI Order and Referring Only - DentistPractitioner - Dentist 6204129414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021232MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1801200860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 CENTRAL BLVD",
            "address_2": "VAMC DENTAL SERVICE (160)",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261439",
            "telephone_number": "616-669-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD SPC 9923",
            "address_2": "VAMC DENTAL SERVICE (160)",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052303",
            "telephone_number": "734-845-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELL",
        "first_name": "JEREMY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.