NPIMap

Organization Active NPI

Artesian Dental Group, PLC

  • Dental Clinic/Center
  • Detroit, MI
National Provider Identifier
1831264621
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901016544 Issued in MI
Legal business name
ARTESIAN DENTAL GROUP, PLC
Practice address
18940 Schoolcraft
Detroit, MI 48223-2906
Phone
(313) 835-6758
Fax
(313) 835-6759
NPI assigned
Nov 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melanie Elaine Mayberry, D.D.SNPI 1922173715
Title
Dentist Owner
Phone
(313) 835-6758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901016544 MI Primary

Addresses

Primary practice location

18940 Schoolcraft
Detroit, MI 48223-2906

Mailing address

P.O.Box 21-785
Detroit, MI 48221
Phone (313) 835-6758

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831264621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 21-785",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48221",
            "telephone_number": "313-835-6758",
            "fax_number": "313-835-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18940 SCHOOLCRAFT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232906",
            "telephone_number": "313-835-6758",
            "fax_number": "313-835-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTESIAN DENTAL GROUP, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DENTIST  OWNER",
        "authorized_official_telephone_number": "313-835-6758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901016544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.