Individual provider Active NPI

Ester Rosalie Sleutelberg, D.D.S.

  • General Practice Dentistry
  • Oak Park, MI
National Provider Identifier
1861588170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
012922 Issued in MI
Practice address
15421 W 9 Mile Rd
Oak Park, MI 48237-2516
Phone
(248) 968-2266
Fax
(248) 968-2006
NPI assigned
Oct 5, 2006
Sex
Female
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
General Practice Dentistry 1223G0001X 012922 MI Primary

Addresses

Primary practice location

15421 W 9 Mile Rd
Oak Park, MI 48237-2516

Mailing address

15421 W 9 Mile Rd
Oak Park, MI 48237-2516
Phone (248) 968-2266

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
I20161110000533 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1052690229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012922MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ester R. Sleutelberg, D.D.S.,P.C. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861588170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15421 W 9 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372516",
            "telephone_number": "248-968-2266",
            "fax_number": "248-968-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15421 W 9 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372516",
            "telephone_number": "248-968-2266",
            "fax_number": "248-968-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEUTELBERG",
        "first_name": "ESTER",
        "middle_name": "ROSALIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "012922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.