NPIMap

Organization Active NPI

Premier Ardent PLLC

  • Dental Clinic/Center
  • Plymouth, MI
National Provider Identifier
1861163776
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PREMIER ARDENT PLLC
Practice address
1075 Maple St
Plymouth, MI 48170-1545
Phone
(734) 454-5656
NPI assigned
Sep 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Sharvil Shah, DMDNPI 1053768432
Title
Owner
Phone
(734) 277-7495

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 Primary

Addresses

Primary practice location

1075 Maple St
Plymouth, MI 48170-1545

Mailing address

1075 Maple St
Plymouth, MI 48170-1545

Other names 1

  • Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

1075 Maple St
Plymouth, MI 48170
Phone (734) 454-5656

Practitioners & affiliated clinicians

Practitioners 6

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": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1861163776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 MAPLE ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 MAPLE ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701545",
            "telephone_number": "734-454-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ARDENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHARVIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-277-7495",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

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