Organization Active NPI

Schaefer Dental Group-Ann Arbor PLLC

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1831856962
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCHAEFER DENTAL GROUP-ANN ARBOR PLLC
Practice address
1110 Henry St
Ann Arbor, MI 48104-4339
Phone
(734) 973-3200
NPI assigned
Nov 23, 2021
Organization subpart
Yes
Parent organization
SCHAEFER AND SCHAEFER FAMILY DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Beth Workman
Title
Regional Manager
Phone
(517) 321-1848

Specialties & licenses 1

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

Addresses

Primary practice location

1110 Henry St
Ann Arbor, MI 48104-4339

Mailing address

1110 Henry St
Ann Arbor, MI 48104-4339
Phone (734) 973-3200

Other names 1

  • Schaefer Dental Group Doing business as

National Provider Directory

National Provider Directory
Part of
Schaefer and Schaefer Family Dentistry

Locations

1110 Henry St
Ann Arbor, MI 48104
Phone (734) 973-3200

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1831856962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HENRY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044339",
            "telephone_number": "734-973-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HENRY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044339",
            "telephone_number": "734-973-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAEFER DENTAL GROUP-ANN ARBOR PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHAEFER AND SCHAEFER FAMILY DENTISTRY",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "517-321-1848"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schaefer Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 2021; 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.